# BERKELEY COUNTY FOOT AND ANKLE CENTER LLC

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

## Provider details

- **NPI number:** 1801061932
- **Authorized official:** DR. JOHN S JACKO D.P.M. (OWNER)
- **Authorized official phone:** (304) 754-7130

## Contact information

- **Practice address:** 3790 HEDGESVILLE ROAD, SUITE O, HEDGESVILLE, WV 25427-6704
- **Practice address phone:** (304) 754-7130
- **Practice address fax:** (717) 762-1831
- **Mailing address:** 3790 HEDGESVILLE RD, SUITE O, HEDGESVILLE, WV 25427-6704
- **Mailing address phone:** (304) 754-7130
- **Mailing address fax:** (717) 762-1831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 10391 | WV | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 05/07/2009