Organization · Type 2 NPI
Family Podiatry Center PC
Podiatric Clinic/Center · Vidalia, GA
NPI number
1376668020
Active
Practice location
1804 Seminole Drive
Vidalia, GA 30474
Fax (912) 537-2914
Mailing address
PO Box 1106
Statesboro, GA 30459-1106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | 2007000326 (GA) |
Podiatric Clinic/Center: Definition to come...
About NPI 1376668020
Family Podiatry Center PC's National Provider Identifier is 1376668020, issued on Mar 20, 2007. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Vidalia, GA. The record was last updated on Aug 22, 2020.