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Organization

FAMILY PODIATRY P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA L HILLIARD DPM (OWNER)
(301) 390-4440
Entity
Organization

Contact information

Practice address
5632 ANNAPOLIS RD STE 12, BLADENSBURG, MD 20710-2213
(301) 390-4440
(202) 726-0656
Mailing address
615 QUACKENBOS ST NW, WASHINGTON, DC 20011-1229
(301) 390-4440
(202) 726-0656

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
261QP1100X
Podiatric Clinic/Center
Primary
01129
MD
261QP1100X
Podiatric Clinic/Center
103000906
VA
261QP1100X
Podiatric Clinic/Center
PO517
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011297300
DC
Enumeration date
09/16/2008
Last updated
11/16/2021
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