| NPI | 1952611543 |
|---|---|
| Former Legal Business Name | FAMILY FOOT AND ANKLE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | DEBBIE RAVN Office Manager 252-439-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 412) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213E00000X Podiatrist (Licence: NC 537) | |
| 213E00000X Podiatrist (Licence: NC 581) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 537) | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2014-07-14 |