Individual
BERTRAND FOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(904) 805-1300
(904) 805-1302
Mailing address
501 WHITE TAIL TER, WAXHAW, NC 28173-7215
(704) 277-4461
(704) 243-6168
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200400332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1360F
BLUE CROSS
NC
05
—
891360F
—
NC
01
—
P00156562
RAILROAD MEDICARE
NC
Enumeration date
05/17/2006
Last updated
07/08/2007
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