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Organization
EASTERN SHORE FAMILY FOOT CARE, LLC
Active
Organization
EASTERN SHORE FAMILY FOOT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLI CLARKSON (OFFICE MANAGER)
(410) 758-5446
Entity
Organization
Contact information
Practice address
9 CHESTER PLZ, CHESTER, MD 21619-2418
(410) 643-7141
(410) 758-3249
Mailing address
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
(410) 778-1801
(410) 758-3249
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
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
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