Provider Demographics
NPI:1407018252
Name:GREENWOOD, JULIE ANNA (DPM)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNA
Last Name:GREENWOOD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7406 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-1817
Mailing Address - Country:US
Mailing Address - Phone:804-262-7153
Mailing Address - Fax:804-262-0104
Practice Address - Street 1:7406 BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-1817
Practice Address - Country:US
Practice Address - Phone:804-262-7153
Practice Address - Fax:804-262-0104
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301040213ES0103X, 213EP1101X
PASC006055213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine