| NPI | 1326453499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BLANKENSHIP HENDERSON Office Manager 757-547-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-10-17 |