NPI 1184101065 · live from the CMS NPI Registry
Commonwealth Foot & Ankle Specialists LLC
Podiatrist in South Chesterfield, VA. National Provider Identifier 1184101065, active.
NPI record
| NPI | 1184101065 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 2552 Aldridge Ave, South Chesterfield, VA 23834 |
| Practice phone | 804-365-5898 |
| Mailing address | 4704 Barrel Point Rd, Prince George, VA 23875 |
| Enumerated | July 24, 2018 |
| Last updated | July 24, 2018 |
| Authorized official | Justin Phillingane, Foot & Ankle Specialist |
| Other names | Commonwealth Foot & Ankle Specialists |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 0103301225 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.