Organization
SALISBURY FOOT & ANKLE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D CUSACK DPM (PRESIDENT)
(704) 636-7575
Entity
Organization
Contact information
Practice address
217 MOCKSVILLE AVE, SALISBURY, NC 28144-3325
(704) 636-7575
Mailing address
217 MOCKSVILLE AVE, SALISBURY, NC 28144-3325
(704) 636-7575
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
309
NC
332BC3200X
Customized Equipment (DME)
309
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890810J
—
NC
Enumeration date
09/13/2011
Last updated
09/23/2011
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