| Greenville Footcare Llc | |
|
220 Fort Dale Rd, Greenville, AL 36037-1502 | |
| (334) 382-1400 | |
| Not Available |
| Full Name | Greenville Footcare Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 220 Fort Dale Rd, Greenville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851324271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | La'shonda A Moore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518993310 PECOS PAC ID: 1658285861 Enrollment ID: I20031112000811 |
| Provider Name | Brian N Kille |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831127026 PECOS PAC ID: 7810919586 Enrollment ID: I20051228000681 |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Footcare Llc 220 Fort Dale Rd, Greenville, AL 36037-1502 Ph: (334) 382-1400 | Greenville Footcare Llc 220 Fort Dale Rd, Greenville, AL 36037-1502 Ph: (334) 382-1400 |
Lashonda Moore, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 220 Fort Dale Rd, Greenville, AL 36037 Phone: 334-382-1400 | |
Dr. Brian N Kille, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 220 Fortdale Rd, Greenville, AL 36037 Phone: 334-382-1400 |