Organization
VISITING PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN A. BEATTY MD (AUTHORIZED OFFICIAL)
(248) 824-6000
Entity
Organization
Contact information
Practice address
263 MCLAWS CIR, SUITE 105A, WILLIAMSBURG, VA 23185-5674
(757) 561-2840
(855) 252-2434
Mailing address
PO BOX 4839, TROY, MI 48099-4839
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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