Foot and Ankle Specialists of the Mid Atlantic LLC
NPI #1063306132 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1063306132
- Entity Type
- Organization
- Organization Name
- Foot and Ankle Specialists of the Mid Atlantic LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 4, 2025
- Last Updated
- Jun 4, 2025
Practice Location
- Address
- 1721 FINANCIAL LOOP
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-2460
- Phone
- (703) 491-9500
Authorized Official
- Name
- ROSALIE KREIGHBAUM
- Title
- REGIONAL CREDENTIALING SPECIALIST
- Phone
- (314) 909-1920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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