Family Foot and Ankle Center of Southern Illinois LLC
NPI #1881823623 in Carterville, Illinois
Provider Information
- NPI Number
- 1881823623
- Entity Type
- Organization
- Organization Name
- Family Foot and Ankle Center of Southern Illinois LLC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Jul 14, 2009
- Last Updated
- Sep 14, 2020
Practice Location
- Address
- 807 S DIVISION ST
- City
- Carterville
- State
- Illinois
- ZIP Code
- 62918-1528
- Phone
- (618) 985-3338
Authorized Official
- Name
- DR. MELINDA BETH MOORE, DPM
- Title
- PODIATRIC PHYSICIAN
- Phone
- (618) 985-3338
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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