Organization · Type 2 NPI
Georgia Reconstructive Foot and Ankle Center LLC
Foot & Ankle Surgery Podiatrist · Winder, GA
NPI number
1114381027
Active
Practice location
293 N Broad St
Winder, GA 30680-2155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD001293 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1114381027
Georgia Reconstructive Foot and Ankle Center LLC's National Provider Identifier is 1114381027, issued on Apr 6, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Winder, GA. The record was last updated on Dec 12, 2016.