Organization
FANCY FEET FOOT CARE CENTER
Active
Other names
FFFCC
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSAA PHYARS DPM (OWNER)
(919) 345-9535
Entity
Organization
Contact information
Practice address
10716 CARMEL COMMONS BLVD, CHARLOTTE, NC 28226-3783
(980) 206-4660
Mailing address
8511 SHARONBROOK DR, CHARLOTTE, NC 28210-5667
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
636
NC
Other
Enumeration date
09/20/2017
Last updated
09/29/2017
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