Queen City Foot And Ankle Specialists

LBN: Queen City Foot And Ankle Specialists
Queen City Foot And Ankle Specialists is an health care organization with primary practice located at 11030 S Tryon St Suite 308, Charlotte NC 28273-6530. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Queen City Foot And Ankle Specialists can be contacted via phone (704) 504-1004, or through Burgess, Roxanne via phone (704) 504-1004.

Contact Information

Primary practice address
11030 S Tryon St Suite 308 Charlotte NC 28273-6530
Phone: (704) 504-1004
Fax: (704) 504-0007
Website:
Map and Directions
Authorized official contact:
Name: Burgess, Roxanne Doctor of Podiatric Medicine (DPM)
Phone: (704) 504-1004

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 461 North Carolina

Profile Details

NPI number 1629048566
LBN Legal business name Queen City Foot And Ankle Specialists
DBA Doing business as
Authorized official Burgess, Roxanne Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Sep 30th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629048566 NPPES
North Carolina MEDICAID 89081AV

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