Active Foot And Ankle Of Carolina Pllc
Durable Medical Equipment & Medical Supplies
1076 Us Highway 17 S, Elizabeth City
North Carolina, 27909-7627
252-333-3111 252-333-1105
Active Foot And Ankle Of Carolina Pllc is a Durable Medical Equipment & Medical Supplies in Elizabeth City, North Carolina. It is located at 1076 Us Highway 17 S, Elizabeth City and it's customer support contact number is 252-333-3111. The authorized person of Active Foot And Ankle Of Carolina Pllc is Dr. Munjed Salem, DPM who is Owner of this DME and his contact number is 252-333-3111. Active license number of Active Foot And Ankle Of Carolina Pllc is 623 for Durable Medical Equipment & Medical Supplies in North Carolina. Active Foot And Ankle Of Carolina Pllc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Active Foot And Ankle Of Carolina Pllc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Active Foot And Ankle Of Carolina Pllc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Active Foot And Ankle Of Carolina Pllc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1076 Us Highway 17 S, Elizabeth City,
North Carolina, 27909-7627 |
| Phone: | 252-333-3111 |
| Fax: | 252-333-1105 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Munjed Salem |
| Credentials: | DPM |
| Position: | Owner |
| Contact Number: | 252-333-3111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1306290648 |
| NPI Enumeration Date: | 22 Apr, 2016 |
| NPI Last Update On: | 18 Apr, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Active Foot And Ankle Of Carolina Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 623 | North Carolina | Primary | |
| Prosthetic/orthotic Supplier | 623 | North Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1558681197 | Medicaid | North Carolina | |
Medicare Enrollment:
Active Foot And Ankle Of Carolina Pllc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0446568851 | O20161215001497 | Active Foot And Ankle Of Carolina Pllc | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 632 Cedar Rd Ste B,
Chesapeake, Virginia |
| Zip: | 23322-8376 |
| Phone Number: | 757-547-0123 |
| Fax Number: | 757-547-2412 |
Patients can reach Active Foot And Ankle Of Carolina Pllc at
1076 Us Highway 17 S, Elizabeth City, North Carolina or can
call on customer care at 252-333-3111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.