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Organization
NORFOLK FOOT AND ANKLE GROUP PC
Active
Organization
NORFOLK FOOT AND ANKLE GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA LYNNE CALLOWAY (OFFICE MANAGER)
(757) 228-3735
Entity
Organization
Contact information
Practice address
4224 HOLLAND RD, SUITE 106, VIRGINIA BEACH, VA 23452-1900
(757) 498-0202
(757) 498-7936
Mailing address
4224 HOLLAND RD, SUITE 106, VIRGINIA BEACH, VA 23452-1900
(757) 498-0202
(757) 498-7936
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
VA0103000437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100566
OPTIMA
VA
Enumeration date
11/07/2006
Last updated
05/12/2011
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