Organization
SOLE PURPOSE PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANTA VAUGHN MORGAN-KITSON DPM (OWNER/PODIATRIST)
(302) 538-0575
Entity
Organization
Contact information
Practice address
8900 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2336
(302) 526-9582
Mailing address
PO BOX 813, SMYRNA, DE 19977-0813
(302) 526-9582
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/10/2021
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