Organization
PERSONAL FOOT CARE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL W PERSON DPM (OWNER)
(804) 732-1211
Entity
Organization
Contact information
Practice address
2020 WAKEFIELD AVE, PETERSBURG, VA 23805-2112
(804) 732-1211
(804) 733-5946
Mailing address
2020 WAKEFIELD AVE, PETERSBURG, VA 23805-2112
(804) 732-1211
(804) 733-5946
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103301109
VA
Other
Enumeration date
09/17/2014
Last updated
11/17/2014
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