| Southeast Podiatry Pc | |
|
23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 | |
| (251) 928-6768 | |
| (251) 928-0783 |
| Full Name | Southeast Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 23937 Us Hwy 98 Ste 1, Fairhope, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467536763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Brent M Harwood |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609869536 PECOS PAC ID: 6305816489 Enrollment ID: I20040728000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Podiatry Pc 23937 Us Highway 98 Ste 1, Fairhope, AL 36532-3354 Ph: (251) 928-6768 | Southeast Podiatry Pc 23937 Us Hwy 98 Ste 1, Fairhope, AL 36532 Ph: (251) 928-6768 |
Southeast Podiatry Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 Phone: 251-928-6768 | |
Premier Foot Care, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 208 Greeno Rd N Ste A, Fairhope, AL 36532 Phone: 251-580-0481 | |
Laura Lasecki Wimmer, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 Phone: 251-458-0322 |