Organization
MAGNOLIA GREEN FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNGMIN YOO (CEO)
(804) 500-0949
Entity
Organization
Contact information
Practice address
6055 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 500-0949
(804) 500-0946
Mailing address
6055 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 500-0949
(804) 500-0946
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
07/27/2023
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