Organization
PERSONAL FOOTCARE LLC
Active
Parent organization
PERSONAL FOOTCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERSONAL FOOTCARE LLC
Authorized official
DR. SAMUEL WINFRED PERSON D.P.M. (PRESIDENT/PODIATRIST)
(804) 732-1211
Entity
Organization
Contact information
Practice address
424 BRACEY LN, SOUTH HILL, VA 23970-1631
(434) 447-6988
(434) 447-5850
Mailing address
2020 WAKEFIELD AVE, PETERSBURG, VA 23805-2112
(804) 732-1211
(804) 733-5946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0103000377
VA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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