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Organization

EASTERN SHORE FAMILY FOOT CARE, LLC

Active
Parent organization
EASTERN SHORE FAMILY FOOT CARE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EASTERN SHORE FAMILY FOOT CARE, LLC
Authorized official
MRS. KIMBERLI CLARKSON (OFFICE MANAGER)
(410) 778-1801
Entity
Organization

Contact information

Practice address
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
(410) 778-1801
(410) 758-3249
Mailing address
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
(410) 778-1801
(410) 758-3249

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870023100
MD
Enumeration date
12/29/2022
Last updated
12/27/2024
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