BROOKDALE FOOT CLINIC LLC

STATESVILLE, NC
NPI1346651536
Entity TypeOrganization
Authorized ContactGEORGE VITO
Member
336-618-6961
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: NC  330)
Enumeration Date2014-05-10
Last Update Date2014-05-10
Business Address
BROOKDALE FOOT CLINIC LLC
533 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: 336-618-6961
Mailing Address
BROOKDALE FOOT CLINIC LLC
PO BOX 24561
WINSTON SALEM, NC 27114-4561
Phone number: 336-618-6961
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