Provider Demographics
NPI:1780225078
Name:ACHILLES FOOT ANKLE CENTER INC
Entity Type:Organization
Organization Name:ACHILLES FOOT ANKLE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:IVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATANACIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-273-1717
Mailing Address - Street 1:100 WINTERS ST STE 106
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:VA
Mailing Address - Zip Code:23181-9534
Mailing Address - Country:US
Mailing Address - Phone:804-273-1717
Mailing Address - Fax:804-273-1834
Practice Address - Street 1:100 WINTERS ST STE 106
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:VA
Practice Address - Zip Code:23181-9534
Practice Address - Country:US
Practice Address - Phone:804-273-1717
Practice Address - Fax:804-273-1834
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACHILLES FOOT ANKLE CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty