| Organization Name: | P&J FOOT CARE CENTERS PC |
| NPI Number: | 1043253230 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELYN JACOBS (OWNER) |
| Mailing Address: | 2248 Murrell Road Lynchburg |
| State: | VA US |
| Postal Code: | 24501 |
| Phone Number: | 8002923008 |
| Fax Number: | 3306299181 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |