Organization
FOOT HEALTH & FITNESS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE CARTER-PERPALL D.P.M. (PRESIDENT)
(301) 805-9308
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE A304, BOWIE, MD 20716-3104
(301) 805-9308
(301) 805-9309
Mailing address
PO BOX 2138, BOWIE, MD 20718-2138
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00648
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146236
PTAN
MD
01
—
G01576
MEDICARE
MD
Enumeration date
11/06/2008
Last updated
05/15/2012
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