Foot & Ankle Clinic Of South Boston Pc

NPI 1750323101 - Podiatrist - 213E00000X

NPI Details
NPI 1750323101
Enumeration Date 06/11/2006
Last Updated 11/12/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL ALAN MICHAEL
Position OWNER OPERATOR
Phone (434) 572-1444
Fax (434) 575-8159
Practice Location
405 A OAK LANE
SOUTH BOSTON VA, 24592, US
Phone (434) 572-1444
Fax (434) 575-8159
Business Location
405 A OAK LANE
SOUTH BOSTON VA, 24592-1633, US
Phone (434) 572-1444
Fax (434) 575-8159
Toxanomy
Taxonomy Code 213E00000X
License State Virginia
License Number 0103000792
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According to our database, Foot & Ankle Clinic Of South Boston Pc NPI is 1750323101, taxonomy code is 213E00000X and license number is 0103000792, license state is located at Virginia. Foot & Ankle Clinic Of South Boston Pc physically located at 405 A Oak Lane, South Boston VA, 24592. NPI Number 1033115704 has the healthcare provider type.

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1750323101 NPI number is provided on an as is basis without warranty of any kind. 1750323101 is maintained by the National Plan & Provider Enumeration System. The contents of Foot & Ankle Clinic Of South Boston Pc are for informational purposes only.