Organization
PODIATRY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY WAYNE DOWNING DPM (OWNER PROVIDER)
(434) 979-0763
Entity
Organization
Contact information
Practice address
600 PETER JEFFERSON PARKWAY, SUITE 360, CHARLOTTESVILLE, VA 22911
(434) 979-0763
(434) 979-8681
Mailing address
600 PETER JEFFERSON PARKWAY, SUITE 360, CHARLOTTESVILLE, VA 22911
(434) 979-0763
(434) 979-8681
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1858
MEDICARE RAILROAD
VA
Enumeration date
10/26/2006
Last updated
02/08/2011
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