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Organization
FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
Active
Organization
FOOT AND ANKLE CLINIC OF THE VIRGINIAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIYA BOYCE (REGIONAL CREDENTIALING SPECIALIST)
(301) 933-7133
Entity
Organization
Contact information
Practice address
2020 LEATHERWOOD LN, BLUEFIELD, VA 24605-2020
(800) 292-3008
(866) 420-4578
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(800) 292-3008
(866) 420-4578
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/02/2013
Last updated
08/07/2025
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