Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL WINFRED PERSON, D.P.M.
Deactivated Sole ProprietorDR. SAMUEL WINFRED PERSON, D.P.M. is a Radiology Podiatrist healthcare provider located in PETERSBURG, Virginia. NPI 1154324879 is deactivated in the NPPES registry. Verify at CMS.
Radiology Podiatrist · PETERSBURG, VA
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1154324879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (0.80547945205479 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 17, 2006
- License
-
0103000377 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2020 WAKEFIELD AVEPETERSBURG, VA, 238052112Browse VA providers · Browse ZIP 23805
- Phone
- 8047321211
- Fax
- 8047335946
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.