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Organization

EASTERN SHORE FAMILY FOOT CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLI CLARKSON (OFFICE MANAGER)
(410) 758-5446
Entity
Organization

Contact information

Practice address
510 S 5TH AVE, DENTON, MD 21629-1368
(410) 819-0096
(410) 479-4622
Mailing address
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
(410) 778-1801
(410) 758-3249

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
261QP1100X
Podiatric Clinic/Center
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
07/22/2015
Last updated
12/27/2024
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