National Provider Identifier Database

ACTIVE ANKLE FOOT CARE SPECIALIST
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ACTIVE ANKLE & FOOT CARE SPECIALIST
6335 HOSPITAL PARKWAY
SUITE 305
JOHNS CREEK, GA30097-5712
Phone: 404-373-7004
Fax: 404-373-7008
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ACTIVE ANKLE & FOOT CARE SPECIALIST

NPI Number 1831575034
Legal business name
LBN
ACTIVE ANKLE & FOOT CARE SPECIALIST
Authorized official INGIE EL-KHASHAB - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 08/11/2015
Last updated 08/11/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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