NPI 1063306132
Foot and Ankle Specialists of the Mid Atlantic LLC
Practice location
- Address
- 1721 Financial Loop, Lake Ridge, VA 22192-2460
- Phone
- (703) 491-9500
- Mailing address
- PO Box 825159, Philadelphia, PA 19182-5159
Authorised official
- Name
- Rosalie Kreighbaum
- Title
- Regional Credentialing Specialist
- Phone
- (314) 909-1920
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1063306132
- Entity type
- Organization
- NPI issued
- 4 Jun 2025
- Record last updated
- 4 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.