Organization
AZALEA COAST PODIATRY AND FOOT SPA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY ALLYSON SMITH DPM (MEMBER/MANAGER)
(910) 777-9054
Entity
Organization
Contact information
Practice address
1604 PHYSICIANS DR, SUITE 105, WILMINGTON, NC 28401-7362
(910) 777-9054
(910) 256-6039
Mailing address
1604 PHYSICIANS DR, SUITE 105, WILMINGTON, NC 28401-7362
(910) 777-9054
(910) 256-6039
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
509
NC
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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