Organization
CENTRAL CAROLINA PODIATRY PA
Active
Other names
Central Carolina Foot & Ankle Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY W IREDALE (ADMINISTRATOR)
(919) 477-9333
Entity
Organization
Contact information
Practice address
4119 CAPITOL ST, DURHAM, NC 27704-2153
(919) 477-9333
(919) 477-9389
Mailing address
4119 CAPITOL ST, DURHAM, NC 27704-2153
(919) 477-9333
(919) 477-9389
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8908034
—
NC
Enumeration date
05/08/2006
Last updated
05/04/2011
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