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Organization
AUGUSTA PODIATRIC MEDICINE & SURGERY INC.
Active
Organization
AUGUSTA PODIATRIC MEDICINE & SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CCHELTREE JR. D.P.M. (SOLE OWNER)
(540) 886-6424
Entity
Organization
Contact information
Practice address
100 MACTANLY PL, SUITE A, STAUNTON, VA 24401-2383
(540) 886-6424
(540) 213-0491
Mailing address
100-A MACTANLY PLACE, STAUNTON, VA 24401
(540) 886-6424
(540) 213-0491
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000705
VA
261QP1100X
Podiatric Clinic/Center
0103000705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029891
ANTHEM ID
—
Enumeration date
02/10/2012
Last updated
04/05/2012
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