Blue Ridge Podiatry Associates in Rocky Mount - Podiatrist

Blue Ridge Podiatry Associates - NPI 1952390221

Blue Ridge Podiatry Associates is a Podiatrist in Rocky Mount, Virginia. Blue Ridge Podiatry Associates practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Blue Ridge Podiatry Associates is 1952390221. The last update date is 2010-11-22.

Blue Ridge Podiatry Associates's current location address is 390 S Main St Ste 103, Rocky Mount, Virginia. You can contact this provider via phone number 5404837933 and fax number 5404639454. The mailing address for Blue Ridge Podiatry Associates is 390 S Main St Ste 103, Rocky Mount, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blue Ridge Podiatry Associates
Address 390 S Main St Ste 103, Rocky Mount, Virginia
Phone Number 5404837933
Fax Number 5404639454
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Clements Larry John
Credentials D.P.M
Telephone Number 5408858891

NPI Number Detail

NPI Number 1952390221
Provider Enumeration Date 2005-10-19
Last Updated Date 2010-11-22

Provider Mailing Address Detail

Address 390 S Main St Ste 103
City Rocky Mount
State Virginia (VA)
Post Code 241511767
Phone Number 5404837933
Fax Number 5404639454

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 103000371
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9301283 VA --
9301208 VA --
518620002 VA NSC LEXINGTON LOCATION
518620001 VA NSC STAUNTON LOCATION
CM9184 VA RR MEDICARE GROUP
9301747 VA --

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FAQs about Blue Ridge Podiatry Associates

What is the unique identification code assigned to Blue Ridge Podiatry Associates by the Centers for Medicare & Medicaid Services?

The Blue Ridge Podiatry Associates has been issued the NPI (National Provider Identifier) 1952390221. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Blue Ridge Podiatry Associates is physically located?

The Blue Ridge Podiatry Associates is situated at the following address: 390 S Main St Ste 103, Rocky Mount, VA 241511767.

What is Blue Ridge Podiatry Associates's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Blue Ridge Podiatry Associates is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.

When did the Blue Ridge Podiatry Associates receive its 1952390221?

The Blue Ridge Podiatry Associates was issued its 1952390221 on 2005-10-19, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Blue Ridge Podiatry Associates most recently updated or revised?

The details related to Blue Ridge Podiatry Associates, including its address, specialty, and other relevant information, were last updated or revised on 2010-11-22.

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