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Organization
MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC
Active
Organization
MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNGMIN YOO (CEO)
(804) 500-0949
Entity
Organization
Contact information
Practice address
6055 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 500-0949
(804) 500-0946
Mailing address
6055 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 500-0949
(804) 500-0946
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
07/27/2023
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