Provider Demographics
NPI:1114268554
Name:TOTAL FOOT CARE
Entity Type:Organization
Organization Name:TOTAL FOOT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:205-655-7337
Mailing Address - Street 1:1930 EDWARDS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3720
Mailing Address - Country:US
Mailing Address - Phone:205-655-7337
Mailing Address - Fax:205-655-7338
Practice Address - Street 1:1930 EDWARDS LAKE RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3720
Practice Address - Country:US
Practice Address - Phone:205-655-7337
Practice Address - Fax:205-655-7338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL303213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty