NPI 1861477515 · live from the CMS NPI Registry
Abingdon Foot & Ankle Clinic PC
Podiatrist, Foot & Ankle Surgery in Abingdon, VA. National Provider Identifier 1861477515, active.
NPI record
| NPI | 1861477515 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1231 W Main St, Suite 100, Abingdon, VA 24210 |
| Practice phone | 276-623-0333 |
| Enumerated | December 14, 2005 |
| Last updated | September 27, 2011 |
| Authorized official | Brian Mazzei, Vice-President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | C103000942 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.