| Clinch Valley Family Podiatry, Pllc | |
|
6719 Governor G.c. Peery Hwy, Suite 3800, Richlands, VA 24641 | |
| (276) 596-9346 | |
| (276) 596-9348 |
| Full Name | Clinch Valley Family Podiatry, Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 6719 Governor G.c. Peery Hwy, Richlands, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962532218 | NPI | - | NPPES |
| 1962532218 | Medicaid | VA | |
| 3810006139 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 0103300952 (Virginia) | Primary |
| Provider Name | Samuel E Scott |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639116643 PECOS PAC ID: 4688673122 Enrollment ID: I20061212000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinch Valley Family Podiatry, Pllc 6719 Governor G.c. Peery Hwy, Suite 3800, Richlands, VA 24641 Ph: (276) 596-9346 | Clinch Valley Family Podiatry, Pllc 6719 Governor G.c. Peery Hwy, Suite 3800, Richlands, VA 24641 Ph: (276) 596-9346 |
Dr. Bruce Michael Freedman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6719 Governor Gc Peery Hwy, Ste 1900, Richlands, VA 24641 Phone: 276-964-9633 | |
Samuel Eugene Scott, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6719 Governor G. C. Peery Hwy, Suite 3800, Richlands, VA 24641 Phone: 276-596-9346 Fax: 276-596-9348 | |
Bruce Freedman Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 6719 Governor Gc Peery Hwy, Ste 1900, Richlands, VA 24641 Phone: 276-964-9633 |