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Organization
ACTIVE FOOT AND ANKLE CENTER, PC
Active
Organization
ACTIVE FOOT AND ANKLE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BLANKENSHIP HENDERSON (OFFICE MANAGER)
(757) 547-0123
Entity
Organization
Contact information
Practice address
369 JOHNSTOWN RD, CHESAPEAKE, VA 23322-5309
(757) 547-0123
(757) 547-2412
Mailing address
369 JOHNSTOWN RD, CHESAPEAKE, VA 23322-5309
(757) 547-0123
(757) 547-2412
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
VA
Other
Enumeration date
06/26/2014
Last updated
10/17/2023
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