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Contact Information

FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
11055 LITTLE PATUXENT PKWY
SUITE 204
COLUMBIA, MD21044-2896
 Phone: 410-730-2623
 Fax:
 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 Number 1861868622
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2015
Last updated 02/20/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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