Organization · Type 2 NPI
Southern Maryland Foot and Ankle LLC
Foot & Ankle Surgery Podiatrist · Waldorf, MD
NPI number
1285809715
Active
Practice location
12070 Old Line Ctr Ste 110
Waldorf, MD 20602-2503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Waldorf
About NPI 1285809715
Southern Maryland Foot and Ankle LLC's National Provider Identifier is 1285809715, issued on Apr 25, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Waldorf, MD. The record was last updated on Nov 14, 2025.