Individual
DR. SAREPTA ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2030 WINDSOR RUN LN, MATTHEWS, NC 28105-0054
(704) 443-6250
(704) 443-6279
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(704) 443-6250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
320
AL
213E00000X
Podiatrist
80223
MS
213E00000X
Podiatrist
Primary
844
NC
213E00000X
Podiatrist
DPM0000000774
TN
213E00000X
Podiatrist
POD001275
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161380A
—
GA
05
—
174769
—
AL
Enumeration date
06/26/2013
Last updated
03/12/2026
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