Provider Demographics
NPI:1952852303
Name:FIRST FEET
Entity Type:Organization
Organization Name:FIRST FEET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STALEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:919-774-4527
Mailing Address - Street 1:611 CARTHAGE ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4106
Mailing Address - Country:US
Mailing Address - Phone:919-774-4527
Mailing Address - Fax:919-774-5611
Practice Address - Street 1:611 CARTHAGE ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4106
Practice Address - Country:US
Practice Address - Phone:919-774-4527
Practice Address - Fax:919-774-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty