Individual
DR. SONYA C. FAIRCLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
9766 MIDLOTHIAN TPKE, RICHMOND, VA 23235-4973
(804) 330-2467
(804) 330-3366
Mailing address
9766 MIDLOTHIAN TPKE, SUITE 102, RICHMOND, VA 23235-4973
(804) 330-2467
(804) 330-3366
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000905
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9300473
—
VA
Enumeration date
03/15/2006
Last updated
03/04/2008
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