Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azalea Coast Podiatry and Foot Spa, PLLC

Organization Foot Surgery Podiatrist · NPI 1760870323

Azalea Coast Podiatry and Foot Spa, PLLC is a Foot Surgery Podiatrist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1604 Physicians Dr Ste 105
Wilmington, NC 28401-7362
Phone: (910) 777-9054
Fax: (910) 256-6039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 509 (NC)

Record details

NPI number1760870323
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Smith — Member/Manager · (910) 777-9054
NPI enumeratedJanuary 6, 2015
Last updated in NPPESJanuary 6, 2015
Mailing address1604 Physicians Dr, Suite 105, Wilmington, NC 28401-7362

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