Organization
SOUTH COUNTY PODIATRY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHARLES ZERVOS DPM (PARTNER)
(401) 789-8912
Entity
Organization
Contact information
Practice address
70 KENYON AVE, SUITE 212, WAKEFIELD, RI 02879-4239
(401) 789-8912
(401) 782-8702
Mailing address
70 KENYON AVE, SUITE 212, WAKEFIELD, RI 02879-4239
(401) 789-8912
(401) 782-8702
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9082009
—
RI
Enumeration date
07/29/2006
Last updated
01/03/2008
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