OrganizationActive
Azalea Coast Podiatry and Foot Spa, PLLC
NPI 1760870323 · Foot Surgery Podiatrist · Wilmington, NC
Provider details
- NPI number
- 1760870323
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kerry Smith, Member/Manager(910) 777-9054
- License
- 509 (NC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1604 Physicians Dr
Suite 105
Wilmington, NC 28401-7362
Phone: (910) 777-9054
Fax: (910) 256-6039
Approximate (ZIP-level) locationGet directions
Mailing address
1604 Physicians Dr
Wilmington, NC 28401-7362
Registry dates
- Enumerated
- 2015-01-06
- Last updated
- 2015-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.