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Organization

WAYNE FOOT SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNY LIND HALL DPM (OWNER)
(919) 734-8007
Entity
Organization

Contact information

Practice address
207 LEE STREET, GOLDSBORO, NC 27530-3821
(919) 734-8007
(919) 736-4048
Mailing address
207 LEE STREET, GOLDSBORO, NC 27530-3821
(919) 734-8007
(919) 736-4048

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
221
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08067
BLUE CROSS OF NC
NC
05
8908067
NC
Enumeration date
03/12/2007
Last updated
10/31/2008
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