Organization
AZALEA COAST PODIATRY AND FOOT SPA, PLLC
Active
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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