Organization
MOSES CONE AFFILIATED PHYSICIANS, INC.
Active
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL
Other names
Triad Foot and Ankle Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL
Authorized official
JARED COOPER (DIRECTOR, OPERATIONS)
(336) 663-5044
Entity
Organization
Contact information
Practice address
2001 N CHURCH ST, GREENSBORO, NC 27405-5633
(336) 375-6990
(336) 375-0361
Mailing address
PO BOX 745032, ATLANTA, GA 30374-5032
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023K0
BCBS
NC
05
—
1952614620
—
NC
05
—
1952614620
—
VA
Enumeration date
07/22/2010
Last updated
02/21/2025
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