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Dr. George Madison Long JR., DPM
Podiatrist in Suffolk, Virginia
NPI 1497748628

George Madison Long JR. is a Podiatrist based in Suffolk, VA. George Madison Long JR. practices in Suffolk, VA and has the professional credentials of DPM. The NPI Number for George Madison Long JR. is 1497748628 and holds a License No. 0103000593 (Virginia).

The current practice location address for George Madison Long JR. is 2401 Godwin Blvd, Suffolk, VA and can be reached out via phone at 757-539-2098 and via fax at 757-539-5188.

Location: 2401 Godwin Blvd, Suffolk, VA, 23434-8178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497748628
Provider Name
George Madison Long JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2401 Godwin Blvd, Suffolk, VA, 23434-8178
Phone Number
757-539-2098
Fax Number
757-539-5188
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009301879 05 VA
institution
Provider Business Practice Location Address Details
Address
2401 Godwin Blvd
City
Suffolk
State
Virginia
Zip
23434-8178
Phone Number
757-539-2098
Fax Number
757-539-5188
person
Provider Business Mailing Address Details
Address
2401 Godwin Blvd
City
Suffolk
State
Virginia
Zip
23434-8178
Phone Number
757-539-2098
Fax Number
757-539-5188
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
0103000593 (Virginia)
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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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