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Organization

AMBULATORY FOOT & ANKLE CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EARNEST P.S. MAWUSI DPM (PODIATRIST)
(757) 825-5783
Entity
Organization

Contact information

Practice address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 825-5783
(757) 825-9658
Mailing address
1618 HARDY CASH DR, HAMPTON, VA 23666-2400
(757) 825-5783
(757) 825-9658

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009300481
VA
05
010199948
VA
01
1295792562
NPI FOR DR. MAWUSI
VA
01
1477510840
NPI FOR DR. KIBWE
VA
01
1629019153
NPI FOR DR. JOHNSON
VA
01
1851474944
NPI FOR DR MORGAN
VA
05
9300589
VA
Enumeration date
08/17/2006
Last updated
02/05/2009
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