Organization
ABINGDON FOOT & ANKLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J MAZZEI DPM (VICE-PRESIDENT)
(276) 623-0333
Entity
Organization
Contact information
Practice address
1231 W MAIN ST, SUITE 100, ABINGDON, VA 24210-4705
(276) 623-0333
(276) 623-0213
Mailing address
1231 W MAIN ST, SUITE 100, ABINGDON, VA 24210-4705
(276) 623-0333
(276) 623-0213
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
C103000942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3353167
—
TN
Enumeration date
12/14/2005
Last updated
09/27/2011
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