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Organization

BURLINGTON FOOT AND ANKLE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ANDREW PETERY DPM (OWNER / DOCTOR)
(336) 226-9919
Entity
Organization

Contact information

Practice address
428 ALAMANCE RD STE C, BURLINGTON, NC 27215-5500
(336) 226-9919
(336) 226-9959
Mailing address
428 ALAMANCE RD STE C, BURLINGTON, NC 27215-5500
(336) 226-9919
(336) 226-9959

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
409
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2433228B
MEDICARE GROUP PIN
NC
05
790213W
NC
05
890801U
NC
Enumeration date
10/10/2007
Last updated
12/06/2007
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