ABINGDON FOOT & ANKLE CLINIC PC NPI 1861477515

NPI Information

ABINGDON FOOT & ANKLE CLINIC PC is a foot and ankle surgery podiatrist in Abingdon, VA. ABINGDON FOOT & ANKLE CLINIC PC NPI is 1861477515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1231 W MAIN ST
SUITE 100
ABINGDON, VA
ZIP 24210-705
Phone: (276) 623-0333
Fax: (276) 623-0213

The provider's authorized official is Brian J Mazzei .
The authorized official title is Vice-president and has the following contact phone number (276) 623-0333.

The CLIA number assigned to this NPI record is 49D2297437 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 9/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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