Organization
SOUTHWEST PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSIE M AKER (OFFICE MANAGER)
(276) 228-2212
Entity
Organization
Contact information
Practice address
2851 CARROLLTON PIKE, SUITE A3, WOODLAWN, VA 24381-3668
(276) 236-9663
(276) 236-8909
Mailing address
2851 CARROLLTON PIKE, SUITE A3, WOODLAWN, VA 24381-3668
(276) 236-9663
(276) 236-8909
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000769
VA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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