Dr. Samuel Winfred Person
Primary Podiatric Medicine
2020 Wakefield Ave
Petersburg
, Virginia 23805-2112
Dr. Samuel Winfred Person
Primary Podiatric Medicine
2020 Wakefield Ave
Petersburg
, Virginia 23805-2112
(804) 733-5946
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Samuel Winfred Person
- 2020 Wakefield Ave
- Petersburg, VA
- Zip : 23805-2112
- Fax : (804) 733-5946
- Phone : (804) 732-1211
Second Address
- Dr. Samuel Winfred Person
- 2020 Wakefield Ave
- Petersburg, VA
- Zip : 23805-2112
- Fax : (804) 733-5946
- Phone : (804) 732-1211
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 0103000377 | VA |
National Provider Identifier
| NPI | 1154324879 |
|---|---|
| Provider Name | Dr. Samuel Winfred Person |
| First Address | Petersburg, VA 23805-2112 |
| Second Address | Petersburg, VA 23805-2112 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9331409 | (05) | VA |
| T19134 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.