OrganizationActive
Foot and Ankle Specialists of the Mid-Atlantic, LLC
NPI 1366250680 · Vascular & Interventional Radiology Physician · Cary, NC
Provider details
- NPI number
- 1366250680
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Foot and Ankle Specialists of the Mid-Atlantic, LLC
- Organization subpart
- Yes
- Authorized official
- Kiya Boyce, Regional Credentialing Specialist(704) 897-2261
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1000 Crescent Grn Ste 101
Cary, NC 27518-8117
Phone: (301) 933-7133
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 825159 Department a
Philadelphia, PA 19182-0001
Registry dates
- Enumerated
- 2024-12-19
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.