Individual
DR. WALTER JOY FALARDEAU III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
367 S ANDY GRIFFITH PKWY, STE 200, MOUNT AIRY, NC 27030-4010
(336) 443-9190
Mailing address
1022 LEE ANN DR NE, CONCORD, NC 28025-2911
(704) 886-1918
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
263
NC
213EP1101X
Primary Podiatric Medicine Podiatrist
263
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
263
NC
213ES0131X
Foot Surgery Podiatrist
263
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890807G
—
NC
Enumeration date
06/28/2005
Last updated
10/26/2018
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