Organization
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Active
Parent organization
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPECIALIST)
(704) 897-2261
Entity
Organization
Contact information
Practice address
1000 CRESCENT GRN STE 101, CARY, NC 27518-8117
(301) 933-7133
Mailing address
PO BOX 825159 DEPARTMENT A, PHILADELPHIA, PA 19182-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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