Isaac, Sarepta

Isaac, Sarepta is an individual health care provider with primary practice located at 2030 Windsor Run Ln , Matthews NC 28105-0054. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Isaac, Sarepta can be contacted via phone (704) 443-6250.

Contact Information

Primary practice address
2030 Windsor Run Ln Matthews NC 28105-0054
Fax: (704) 443-6279
Website:

Health care specialties

Profile Details

NPI number 1316387038
LBN Legal business name Isaac, Sarepta
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Mar 12th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316387038 NPPES
Georgia MEDICAID 003161380A
Georgia MEDICAID 174769

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