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Organization

PINEHURST FOOT SPECIALIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN DUNLAP DPM (OWNER)
(919) 751-9120
Entity
Organization

Contact information

Practice address
325 PAGE RD BLDG 3, PINEHURST, NC 28374-8850
(919) 751-9120
(919) 751-9170
Mailing address
PO BOX 4839, PINEHURST, NC 28374-4839
(919) 751-9120
(919) 751-9170

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
286
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2431909J
MEDICARE INDIVIDUAL PROVIDER NUMBER
NC
05
890805K
NC
Enumeration date
03/05/2007
Last updated
05/31/2024
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