# EASTERN SHORE FAMILY FOOT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295110013
- **Authorized official:** KIMBERLI CLARKSON (OFFICE MANAGER)
- **Authorized official phone:** (410) 758-5446

## Contact information

- **Practice address:** 6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
- **Practice address phone:** (410) 778-1801
- **Practice address fax:** (410) 758-3249
- **Mailing address:** 6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
- **Mailing address phone:** (410) 778-1801
- **Mailing address fax:** (410) 758-3249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 12/27/2024