IndividualActive
Samuel Person, D.P.M.
NPI 1154324879 · Primary Podiatric Medicine Podiatrist · Petersburg, VA
Provider details
- NPI number
- 1154324879
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0103000377 (VA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2020 Wakefield Ave
Petersburg, VA 23805-2112
Phone: (804) 732-1211
Fax: (804) 733-5946
Approximate (ZIP-level) locationGet directions
Mailing address
2020 Wakefield Ave
Petersburg, VA 23805-2112
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.