NPI 1144593948 · live from the CMS NPI Registry
Augusta Podiatric Medicine & Surgery INC.
Podiatrist in Staunton, VA. National Provider Identifier 1144593948, active.
NPI record
| NPI | 1144593948 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 100 Mactanly Pl, Suite A, Staunton, VA 24401 |
| Practice phone | 540-886-6424 |
| Mailing address | 100-A Mactanly Place, Staunton, VA 24401 |
| Enumerated | February 10, 2012 |
| Last updated | April 5, 2012 |
| Authorized official | John Ccheltree, Sole Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Podiatric | 261QP1100X | 0103000705 (VA) |
| Podiatrist primary | 213E00000X | 0103000705 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.