| Organization Name: | PIEDMONT FOOT AND ANKLE ASSOCIATES, P. C. |
| NPI Number: | 1336210921 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THURMOND ERIC SICELOFF (VICE PRESIDENT) |
| Mailing Address: | 680 Parkwood Medical Park Elkin |
| State: | NC US |
| Postal Code: | 286212487 |
| Phone Number: | 3368357676 |
| Fax Number: | 3368357209 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |