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Contact Information

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
224D CORNWALL ST NW #102
LEESBURG, VA20176
 Phone: 703-777-5830
 Fax: 703-777-5155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE SPECIALISTS OF THE MID ATLANTIC LLC · (Female)

NPI # 1629355771
Status Active
Credentials
Entity Individual
Enumeration date 11/03/2011
Last updated 02/25/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 1629355771
  • VA Other DS5770 MEDICARE RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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