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Seneca Family Foot Care, PLLC

in Ronceverte, WV. Organization (NPI-2).

NPI number1245500040
StatusActive
Last updated in NPPESFeb 19, 2013

Details

NPI
1245500040
Entity type
Organization (NPI-2)
Legal business name
Seneca Family Foot Care, PLLC
Organization subpart
No
Enumeration date
Jan 10, 2012
Last updated
Feb 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X 00350WVYes

Practice location

336 Seneca Trail
Ronceverte, WV 24970

Phone 304-645-0200 · Fax 304-645-0240

Mailing address

336 Seneca Trail
Ronceverte, WV 24970

Phone 304-645-0200 · Fax 304-645-0240

Authorized official

Gerald Marshall Erskine
Owner
3046450200

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