Organization
AAA FAMILY FOOT CARE CENTER,PLLC
Active
Organization
AAA FAMILY FOOT CARE CENTER,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LONGOBARDO D.P.M.,M.D. (PYHSICIAN)
(704) 588-7373
Entity
Organization
Contact information
Practice address
9124 S TRYON ST, SUITE J, CHARLOTTE, NC 28273-3114
(704) 588-7373
(704) 588-7585
Mailing address
9124 S TRYON ST, SUITE J, CHARLOTTE, NC 28273-3114
(704) 588-7373
(704) 588-7585
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890857H
—
NC
05
—
PD3204
—
NC
Enumeration date
02/28/2007
Last updated
06/05/2008
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