Organization
FOOT DOCTOR OF RAPPAHANNOCK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILENE S TERRELL DPM (PODIATRIST OWNER)
(540) 548-3668
Entity
Organization
Contact information
Practice address
12010 KILARNEY DR, FREDERICKSBRG, VA 22407-7207
(540) 548-3668
(540) 548-0019
Mailing address
12010 KILARNEY DR, FREDERICKSBRG, VA 22407-7207
(540) 548-3668
(540) 548-0019
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000702
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009302417
—
VA
Enumeration date
10/18/2006
Last updated
09/23/2008
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