Organization Name: | DUNN FOOT & ANKLE CENTER, P.A. |
NPI Number: | 1073713053 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH G. BASS (PODIATRIST) |
Mailing Address: | 303 Tilghman Dr Dunn |
State: | NC US |
Postal Code: | 283345524 |
Phone Number: | 9108923338 |
Fax Number: | 9108922706 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |