Organization · Type 2 NPI
Southern Podiatry Group, PC
Foot & Ankle Surgery Podiatrist · Tifton, GA
NPI number
1013174457
Active
Practice location
820 Love Ave, Suite B
Tifton, GA 31794-4071
Mailing address
2718 N Oak St
Valdosta, GA 31602-1781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Tifton
About NPI 1013174457
Southern Podiatry Group, PC's National Provider Identifier is 1013174457, issued on May 22, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Tifton, GA. The record was last updated on Dec 1, 2009.