| NPI | 1881038453 |
|---|---|
| Former Legal Business Name | CARDINAL PODIATRY, PLLC |
| Entity Type | Organization |
| Authorized Contact | ALISON ADAMS DURHAM Shareholder 336-375-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 583) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 583) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2022-07-21 |