Individual
DR. SAMUEL WINFRED PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2020 WAKEFIELD AVE, PETERSBURG, VA 23805-2112
(804) 732-1211
(804) 733-5946
Mailing address
2020 WAKEFIELD AVE, PETERSBURG, VA 23805-2112
(804) 732-1211
(804) 733-5946
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0103000377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9331409
—
VA
Enumeration date
05/27/2005
Last updated
07/08/2007
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