Organization
NEW AGE FOOT & ANKLE SURGERY, LLC
Active
Other names
New Age Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA SAPPINGTON (ADMINISTRATOR)
(804) 934-9340
Entity
Organization
Contact information
Practice address
3936 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 934-9340
(804) 934-9381
Mailing address
3936 SPRINGFIELD RD, GLEN ALLEN, VA 23060
(804) 934-9340
(804) 934-9381
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
4605650001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01033982
—
VA
01
—
146326
GROUP # FOR ANTHEM
VA
Enumeration date
07/21/2006
Last updated
06/20/2018
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