| Organization Name: | AUGUSTA PODIATRIC MEDICINE & SURGERY INC. |
| NPI Number: | 1144593948 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN CCHELTREE (SOLE OWNER) |
| Mailing Address: | 100 Mactanly Pl Suite A Staunton |
| State: | VA US |
| Postal Code: | 244012383 |
| Phone Number: | 5408866424 |
| Fax Number: | 5402130491 |
| NPI Enumeration Date: | 02/10/2012 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 0103000705 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |