Organization
THE CAPE FEAR FOOT CENTER
Active
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
Update your record
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