Organization
FAYETTEVILLE FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JOHN DEMETRI JR. D.P.M. (DOCTOR)
(910) 483-3338
Entity
Organization
Contact information
Practice address
503 OWEN DR, FAYETTEVILLE, NC 28304-3433
(910) 483-3338
(910) 483-3386
Mailing address
503 OWEN DR, FAYETTEVILLE, NC 28304-3433
(910) 483-3338
(910) 483-3386
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153T
BLUE CROSS BLUE SHIELD
NC
05
—
890805F
—
NC
Enumeration date
02/16/2007
Last updated
03/22/2011
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