Organization
EASTERN SHORE FAMILY FOOT CARE, LLC
Active
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
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
(410) 778-1801
(410) 758-3249
Mailing address
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620-2386
(410) 778-1801
(410) 758-3249
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
01102
MD
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780938700
—
MD
Enumeration date
03/23/2007
Last updated
12/27/2024
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