Provider Demographics
NPI:1659898039
Name:NOAH FOOT AND ANKLE CENTER, PLLC
Entity Type:Organization
Organization Name:NOAH FOOT AND ANKLE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:NOAH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:910-399-8688
Mailing Address - Street 1:5226 S COLLEGE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2236
Mailing Address - Country:US
Mailing Address - Phone:910-399-8688
Mailing Address - Fax:910-399-8690
Practice Address - Street 1:5226 S COLLEGE RD STE 4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-2236
Practice Address - Country:US
Practice Address - Phone:910-399-8688
Practice Address - Fax:910-399-8690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric