Organization
BERKELEY COUNTY FOOT AND ANKLE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S JACKO D.P.M. (OWNER)
(304) 754-7130
Entity
Organization
Contact information
Practice address
3790 HEDGESVILLE ROAD, SUITE O, HEDGESVILLE, WV 25427-6704
(304) 754-7130
(717) 762-1831
Mailing address
3790 HEDGESVILLE RD, SUITE O, HEDGESVILLE, WV 25427-6704
(304) 754-7130
(717) 762-1831
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10391
WV
Other
Enumeration date
04/29/2008
Last updated
05/07/2009
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