Organization
COASTAL PODIATRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M. MCGEE (OFFICE MANAGER)
(757) 523-0414
Entity
Organization
Contact information
Practice address
6477 COLLEGE PARK SQ, SUITES 106, VIRGINIA BEACH, VA 23464-3611
(757) 523-0414
(757) 523-2047
Mailing address
6477 COLLEGE PARK SQ, SUITES 106, VIRGINIA BEACH, VA 23464-3611
(757) 523-0414
(757) 523-2047
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000759
VA
213EP1101X
Primary Podiatric Medicine Podiatrist
0103000759
VA
213ER0200X
Radiology Podiatrist
0103000759
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
0103000759
VA
213ES0131X
Foot Surgery Podiatrist
0103000759
VA
Other
Enumeration date
07/13/2006
Last updated
04/27/2017
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