Individual provider · Type 1 NPI
Rose S. Southerland, DPM
Primary Podiatric Medicine Podiatrist · Wilmington, NC
NPI number
1790823334
Active
Practice location
1202 Medical Center Dr
Wilmington, NC 28401-7307
Fax (910) 251-2067
Mailing address
25 Union School Rd NW Ste 1
Ocean Isle Beach, NC 28469-7307
Other practice locations
- 25 Union School Rd NW Ste 1, Ocean Isle Beach, NC 28469-7307 · (910) 579-0828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 520 (NC) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 520 (NC) |
Primary Podiatric Medicine Podiatrist: Definition to come...
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About NPI 1790823334
Rose S. Southerland, DPM's National Provider Identifier is 1790823334, issued on Feb 4, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Wilmington, NC. The record was last updated on Mar 23, 2018.