Organization · Type 2 NPI
West Georgia Podiatry Assoc.
Foot & Ankle Surgery Podiatrist · Carrollton, GA
NPI number
1013061357
Active
Practice location
125 History Dr
Carrollton, GA 30117-3969
Fax (770) 832-3518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000434 (GA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000758 (GA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 000478 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1013061357
West Georgia Podiatry Assoc.'s National Provider Identifier is 1013061357, issued on Jan 23, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Carrollton, GA. The record was last updated on Jan 7, 2008.