Provider Demographics
NPI:1588782767
Name:EAST CAROLINA FOOT AND ANKLE
Entity type:Organization
Organization Name:EAST CAROLINA FOOT AND ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SABO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:252-809-1500
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-0188
Mailing Address - Country:US
Mailing Address - Phone:252-482-1400
Mailing Address - Fax:252-482-1400
Practice Address - Street 1:222 VIRGINIA RD # C
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-9667
Practice Address - Country:US
Practice Address - Phone:252-482-1400
Practice Address - Fax:252-482-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC448213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89012UKMedicaid
NC89012UKMedicaid