person
Dr. Jesse Anderson III, DPM
Podiatrist in Suffolk, Virginia
NPI 1770583080

Jesse Anderson III is a Podiatrist based in Suffolk, VA. Jesse Anderson III practices in Suffolk, VA and has the professional credentials of DPM. The NPI Number for Jesse Anderson III is 1770583080 and holds a License No. 0103000709 (Virginia).

The current practice location address for Jesse Anderson III is 2401 Godwin Blvd Ste 1, Suffolk, VA and can be reached out via phone at 757-625-2962 and via fax at 757-627-9861.

Location: 2401 Godwin Blvd Ste 1, Suffolk, VA, 23434-8178
person
Provider Profile Details
NPI Number
1770583080
Provider Name
Jesse Anderson III
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2401 Godwin Blvd Ste 1, Suffolk, VA, 23434-8178
Phone Number
757-625-2962
Fax Number
757-627-9861
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62841 01 VA OPTIMA
282441 01 VA ANTHEM
0103000709 01 VA LIC
institution
Provider Business Practice Location Address Details
Address
2401 Godwin Blvd Ste 1
City
State
Zip
23434-8178
Phone Number
757-625-2962
Fax Number
757-627-9861
person
Provider Business Mailing Address Details
Address
2401 Godwin Blvd Ste 1
City
State
Zip
23434-8178
Phone Number
757-625-2962
Fax Number
757-627-9861
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
0103000709 (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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