OrganizationActive
Foot and Ankle Clinic of the Virginias Inc
NPI 1174968218 · Podiatrist · Charleston, WV
Provider details
- NPI number
- 1174968218
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Timothy Donatelli, Owner(304) 487-9442
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
Suppliers
Practice location
5504 Maccorkle Ave Se
Charleston, WV 25304-2320
Phone: (304) 487-9442
Fax: (866) 420-4578
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 825159
Philadelphia, PA 19182-5159
Registry dates
- Enumerated
- 2013-05-02
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.