George Madison Long in Suffolk - Podiatrist
George Madison Long - NPI 1497748628
George Madison Long is a Podiatrist in Suffolk, Virginia. George Madison Long practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for George Madison Long is 1497748628. The last update date is 2007-11-20.
George Madison Long's current location address is 2401 Godwin Blvd, Suffolk, Virginia. You can contact this provider via phone number 7575392098 and fax number 7575395188. The mailing address for George Madison Long is 2401 Godwin Blvd, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Madison Long |
|---|---|
| Address | 2401 Godwin Blvd, Suffolk, Virginia |
| Phone Number | 7575392098 |
| Fax Number | 7575395188 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1497748628 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2007-11-20 |
Provider Mailing Address Detail
| Address | 2401 Godwin Blvd |
|---|---|
| City | Suffolk |
| State | Virginia (VA) |
| Post Code | 234348178 |
| Phone Number | 7575392098 |
| Fax Number | 7575395188 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 103000593 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9301879 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to George Madison Long by the Centers for Medicare & Medicaid Services (CMS)?
The George Madison Long has been assigned the NPI (National Provider Identifier) 1497748628. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of George Madison Long?
The George Madison Long is physically situated at 2401 Godwin Blvd, in the city of Suffolk, state of VA, with the postal code 234348178.
What is the area of specialization for George Madison Long, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for George Madison Long is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497748628 to George Madison Long?
The George Madison Long received its 1497748628 assignment from the Centers for Medicare & Medicaid Services on 2005-08-23.
As of what date were the details pertaining to George Madison Long last refreshed?
The information related to the George Madison Long, including its address, specialty, and other relevant details, was last updated on 2007-11-20.