Organization
WILLIAM J ONEILL
Active
Other names
CAROLINA FOOT CARE ASSOC PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA B REAVIS (BUSINESS MGR)
(336) 766-8400
Entity
Organization
Contact information
Practice address
6341 COOK AVE, SUITE A, CLEMMONS, NC 27012-9379
(336) 766-8400
(336) 766-8486
Mailing address
PO BOX 268, CLEMMONS, NC 27012-0268
(336) 766-8400
(336) 766-8486
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08042
BLUE CROSS OF NC
NC
05
—
8908042
—
NC
Enumeration date
05/10/2006
Last updated
09/21/2015
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