NPI Profile for ANKLE AND FOOT CENTERS OF GEORGIA LLC in PEACHTREE CITY, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI # | 1992003479 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/07/2011 | |
| Last updated | 02/17/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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