Organization
MANN & HENRY PODIATRY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT M. HENRY D.P.M. (PRESIDENT)
(717) 334-1825
Entity
Organization
Contact information
Practice address
7101 GUILFORD DR, SUITE 204, FREDERICK, MD 21704-5193
(301) 694-8880
(301) 663-0959
Mailing address
7101 GUILFORD DR, SUITE 204, FREDERICK, MD 21704-5193
(301) 694-8880
(301) 663-0959
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
01223
MD
213E00000X
Podiatrist
Primary
SC004183R
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
01223
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
SC004183R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015596180001
—
PA
05
—
0015596180004
—
PA
05
—
1017481350001
—
PA
05
—
1255324539
—
PA
05
—
410156100
—
MD
05
—
549685364
—
MD
Enumeration date
07/15/2006
Last updated
03/23/2016
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