Organization
P&J FOOT CARE CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN JACOBS D.P.M. (OWNER)
(800) 292-3008
Entity
Organization
Contact information
Practice address
2248 MURRELL ROAD, LYNCHBURG, VA 24501
(800) 292-3008
(330) 629-9181
Mailing address
2248 MURRELL ROAD, LYNCHBURG, VA 24501
(800) 292-3008
(330) 629-9181
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE1803
RAILROAD MEDICARE
VA
Enumeration date
06/14/2006
Last updated
06/16/2014
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