Organization
PODIATRY GROUP OF WALDORF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TERRIE LYNN BALLENGER (OFFICE MANAGER)
(301) 645-0366
Entity
Organization
Contact information
Practice address
3261 OLD WASHINGTON RD, SUITE 1010, WALDORF, MD 20602-3223
(301) 645-0366
(301) 843-4773
Mailing address
3261 OLD WASHINGTON RD, SUITE 1010, WALDORF, MD 20602-3223
(301) 645-0366
(301) 843-4773
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/14/2008
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