Sole Purpose Podiatry, LLC

NPI #1366078842 in Columbia, Maryland

Provider Information

NPI Number: 1366078842
Entity Type: Organization
Organization Name: Sole Purpose Podiatry, LLC
Primary Specialty: Podiatrist
Enumeration Date: Mar 17, 2020
Last Updated: Mar 10, 2021

Practice Location

Address: 8900 COLUMBIA 100 PKWY
City: Columbia
State: Maryland
ZIP Code: 21045-2336
Phone: (302) 526-9582

Authorized Official

Name: DR. FANTA VAUGHN MORGAN-KITSON, DPM
Title: OWNER/PODIATRIST
Phone: (302) 538-0575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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