Organization
SOUTH COAST FOOT AND ANKLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE S SOUTHERLAND DPM (OWNER)
(910) 579-0828
Entity
Organization
Contact information
Practice address
25 UNION SCHOOL RD NW, SUITE 1, OCEAN ISLE BEACH, NC 28469-7307
(910) 579-0828
(910) 579-5463
Mailing address
25 UNION SCHOOL RD NW, SUITE 1, OCEAN ISLE BEACH, NC 28469-7307
(910) 579-0828
(910) 579-5463
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
06/11/2012
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