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Individual

MAHMOUD AWNI SALEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1934 BRAEBURN DR, SALEM, VA 24153-7302
(540) 982-0253
(540) 982-1996
Mailing address
1934 BRAEBURN DR, SALEM, VA 24153-7302
(540) 982-0253
(540) 982-1996

Taxonomy

Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
0103301104
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301104
VA

Other

Enumeration date
06/01/2011
Last updated
09/02/2019
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