AAA FAMILY FOOT CARE CENTERPLLC NPI 1558499046

NPI Information

NPI: 1558499046
Provider Name: AAA FAMILY FOOT CARE CENTER,PLLC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
9124 S TRYON ST
SUITE J
CHARLOTTE, NC
ZIP 28273
Phone: (704) 588-7373
Get Directions

AAA FAMILY FOOT CARE CENTER,PLLC is a primary podiatric medicine podiatrist in Charlotte, NC. AAA FAMILY FOOT CARE CENTER,PLLC NPI is 1558499046. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9124 S TRYON ST
SUITE J
CHARLOTTE, NC
ZIP 28273-114
Phone: (704) 588-7373
Fax: (704) 588-7585

The provider's authorized official is John Longobardo .
The authorized official title is Pyhsician and has the following contact phone number (704) 588-7373.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 6/5/2008.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	320	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	PD3204	MEDICAID	NORTH CAROLINA
2	5391080001	MEDICARE NSC	NORTH CAROLINA
3	2432155C	MEDICARE PIN	NORTH CAROLINA
4	890857H	MEDICAID	NORTH CAROLINA

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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