Organization
ACTIVE FOOT AND ANKLE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BLANKENSHIP HENDERSON (OFFICE MANAGER)
(757) 547-0123
Entity
Organization
Contact information
Practice address
369 JOHNSTOWN RD, CHESAPEAKE, VA 23322-5309
(757) 547-0123
(757) 547-2412
Mailing address
369 JOHNSTOWN RD, CHESAPEAKE, VA 23322-5309
(757) 547-0123
(757) 547-2412
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
VA
Other
Enumeration date
06/26/2014
Last updated
10/17/2023
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