Organization · NPI-2

Mid-Atlantic Footcare

Podiatrist · Norfolk, VA

NPI number1316184518
StatusActive
Last updated in NPPESJan 10, 2009

Details

NPI
1316184518
Entity type
Organization (NPI-2)
Legal business name
Mid-Atlantic Footcare
Organization subpart
No
Enumeration date
Jan 10, 2009
Last updated
Jan 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist0103000848VAYes

Practice location

1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840

Phone 757-963-8868 · Fax 757-963-8867

Mailing address

1401 Tidewater Dr Ste 1
Norfolk, VA 23504-2840

Phone 757-963-8868 · Fax 757-963-8867

Authorized official

Frank Mercer
President
7579638868

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Podiatrist providers in Norfolk, VA