Organization Name: | ADULT & CHILD FOOT & ANKLE CARE, LLC |
NPI Number: | 1578800538 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN G MCMAHON (OWNER) |
Mailing Address: | 2184 Plainview Ctr Powhatan |
State: | VA US |
Postal Code: | 231395756 |
Phone Number: | 8044033000 |
Fax Number: | 8044033300 |
NPI Enumeration Date: | 01/11/2013 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |