TARHEEL FOOT & SPECIALTY CARE P.A. NPI 1245780303

NPI Information

NPI: 1245780303
Provider Name: TARHEEL FOOT & SPECIALTY CARE, P.A.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 34D2148097

Address:
300 BIRCH ST
SUITE B
RAEFORD, NC
ZIP 28376
Phone: (910) 904-6600
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TARHEEL FOOT & SPECIALTY CARE, P.A. is a family nurse practitioner in Raeford, NC. TARHEEL FOOT & SPECIALTY CARE, P.A. NPI is 1245780303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 BIRCH ST
SUITE B
RAEFORD, NC
ZIP 28376-297
Phone: (910) 904-6600
Fax: (910) 904-1810

The provider's authorized official is Carol Lynn Keeler .
The authorized official title is Hr Manager and has the following contact phone number (910) 929-6944.

The CLIA number assigned to this NPI record is 34D2148097 - other - multispecialty clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 7/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	900257	NORTH CAROLINA	No
2	363A00000X	Physician Assistant				No
3	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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