Organization
CAROLINA PODIATRY CENTER PLLC
Active
Other names
William J. Johncock DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JESSE JOHNCOCK DPM (SOLE MEMBER)
(828) 327-3029
Entity
Organization
Contact information
Practice address
36 14TH AVE NE, SUITE 102, HICKORY, NC 28601-2581
(828) 327-3029
(828) 327-3181
Mailing address
36 14TH AVE NE, SUITE 102, HICKORY, NC 28601-2581
(828) 327-3029
(828) 327-3181
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
348
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808N
BCBS NC NUMBER
NC
05
—
890808N
—
NC
Enumeration date
03/02/2007
Last updated
12/06/2012
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