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Organization

HIGHLANDS PODIATRY, P.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN CHRISTOPHER ALLEN D.P.M. (CHIEF MANAGER/PODIATRIST)
(423) 764-2299
Entity
Organization

Contact information

Practice address
391 FALLS DR NW, ABINGDON, VA 24210-8093
(423) 764-2299
(423) 968-3340
Mailing address
2765 W STATE ST, BRISTOL, TN 37620-1828
(423) 764-2299
(423) 968-3340

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301011
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
385776
BLUE CROSS VA FOR TN PATIENTS
VA
01
404529
BLUE CROSS FOR VA
VA
01
480034380
RAILROAD MEDICARE
VA
Enumeration date
03/31/2010
Last updated
04/16/2013
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