institution
Johnnie Nine Toes
Primary Podiatric Medicine Podiatrist in Chesapeake, Virginia
NPI 1215128723

Johnnie Nine Toes is a Primary Podiatric Medicine Podiatrist based in Chesapeake, VA and is specialized in Primary Podiatric Medicine. Johnnie Nine Toes practices in Chesapeake, VA. The NPI Number for Johnnie Nine Toes is 1215128723 and holds a License No. (Virginia).

The current practice location address for Johnnie Nine Toes is 1416 Shenandoah Pkwy, Chesapeake, VA and can be reached out via phone at 757-418-4556 and via fax at 757-549-2004.

Location: 1416 Shenandoah Pkwy, Chesapeake, VA, 23320-8137
institution
Provider Profile Details
NPI Number
1215128723
Provider Name
Johnnie Nine Toes
Credential
Provider Entity Type
Organization
Address
1416 Shenandoah Pkwy, Chesapeake, VA, 23320-8137
Phone Number
757-418-4556
Fax Number
757-549-2004
Provider Enumeration Date
08/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180924 01 VA BLUE CROSS BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
1416 Shenandoah Pkwy
City
State
Zip
23320-8137
Phone Number
757-418-4556
Fax Number
757-549-2004
person
Provider Business Mailing Address Details
Address
1416 Shenandoah Pkwy
City
State
Zip
23320-8137
Phone Number
757-418-4556
Fax Number
757-549-2004
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
()
Definition
Definition to come...
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