| Active Foot And Ankle Of Carolina Pllc | |
|
1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 | |
| (252) 333-3111 | |
| (252) 333-1105 |
| Full Name | Active Foot And Ankle Of Carolina Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 1076 Us Highway 17 S, Elizabeth City, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730574757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | (North Carolina) | Primary |
| Provider Name | Munjed Shukri Salem |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558681197 PECOS PAC ID: 6901044270 Enrollment ID: I20151005003292 |
| Provider Name | Soumaya Toufic Bader |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568982247 PECOS PAC ID: 1658796271 Enrollment ID: I20201102000000 |
| Provider Name | Kevin L Craney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265051619 PECOS PAC ID: 8628422169 Enrollment ID: I20240125000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Foot And Ankle Of Carolina Pllc 632 Cedar Rd, Suite B, Chesapeake, VA 23322-8376 Ph: (757) 547-0123 | Active Foot And Ankle Of Carolina Pllc 1076 Us Highway 17 S, Elizabeth City, NC 27909-7627 Ph: (252) 333-3111 |
Dr. Richard Christian King, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1121 N Road St, Suite B, Elizabeth City, NC 27909 Phone: 252-338-2111 Fax: 252-338-2113 | |
King Podiatry And Associates Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 1121 N Road St Ste B, Elizabeth City, NC 27909 Phone: 252-338-2111 Fax: 252-338-2113 | |
Amelia Bezerra Maguire, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1121 N Road St Ste B, Elizabeth City, NC 27909 Phone: 252-338-2111 Fax: 252-338-2113 | |
King Podiatry And Associates Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1121 N Road St, B, Elizabeth City, NC 27909 Phone: 252-338-2111 Fax: 252-338-2113 |