Provider Demographics
NPI:1386389922
Name:CAROLINA FAMILY FOOT AND ANKLE
Entity type:Organization
Organization Name:CAROLINA FAMILY FOOT AND ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:SISI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-651-8863
Mailing Address - Street 1:1707 BERWICK DR STE B
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-5543
Mailing Address - Country:US
Mailing Address - Phone:215-651-8863
Mailing Address - Fax:910-277-1966
Practice Address - Street 1:1707 BERWICK DR STE B
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5543
Practice Address - Country:US
Practice Address - Phone:910-830-8200
Practice Address - Fax:910-277-1966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty