| |
402 Airport Road, Tappahannock, VA 22560-5431 | |
(804) 925-6027 | |
(804) 925-6064 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 402 Airport Road, Tappahannock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083395792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Joon Suk Hwang |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083020267 PECOS PAC ID: 9537450309 Enrollment ID: I20160627000069 |
Mailing Address | Practice Location Address |
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402 Airport Road, Tappahannock, VA 22560-5431 Ph: (804) 925-6027 | 402 Airport Road, Tappahannock, VA 22560-5431 Ph: (804) 925-6027 |
Dr. Joon Suk Hwang, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 402 Airport Rd, Tappahannock, VA 22560 Phone: 804-925-6027 |