Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 0103301040 | VA |
N | 213EP1101X | Primary Podiatric Medicine | SC006055 | PA |
Y | 213ES0103X | Foot & Ankle Surgery | 0103301040 | VA |
N | 213ES0103X | Foot & Ankle Surgery | SC006055 | PA |
NPI | 1407018252 |
---|---|
Provider Name | Dr. Julie Anna Greenwood |
First Address | Richmond, VA 23227-1817 |
Second Address | Richmond, VA 23227-1817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 19/08/2011 |