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Organization

THE CAPE FEAR FOOT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY GIRARD YOUNG DPM (OWNER)
(910) 763-9334
Entity
Organization

Contact information

Practice address
1919 S 16TH ST, WILMINGTON, NC 28401-6610
(910) 763-9334
Mailing address
1919 S 16TH ST, WILMINGTON, NC 28401-6610
(910) 763-9334

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
262
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890265N
NC
05
890817C
NC
01
CL3079
RAILROAD MEDICARE
NC
Enumeration date
10/15/2007
Last updated
05/14/2008
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