NPI 1730112475 · live from the CMS NPI Registry
Blue Ridge Foot And Ankle Clinic Plc
Podiatrist, Foot & Ankle Surgery in Charlottesville, VA. National Provider Identifier 1730112475, active.
NPI record
| NPI | 1730112475 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 887a Rio East Ct, Charlottesville, VA 22901 |
| Practice phone | 434-979-8116 |
| Enumerated | July 8, 2006 |
| Last updated | November 6, 2008 |
| Authorized official | Kevin Murray, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 0103000815 (VA) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 0103300932 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.