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
Phone: (704) 443-6250
Fax: (704) 443-6279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD001275 | Georgia |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DPM0000000774 | Tennessee |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 844 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 320 | Alabama |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 80223 | Mississippi |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316387038 | NPPES |
| Georgia | MEDICAID | 003161380A | |
| Georgia | MEDICAID | 174769 |
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