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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