Organization · Type 2 NPI

Providence Foot & Ankle Centers, PC Inc

Foot & Ankle Surgery Podiatrist · Atlanta, GA

NPI number 1437417722 Active

Practice location

4200 Northside Pkwy NW, Building 8
Atlanta, GA 30327-3054

Fax (770) 745-4228

Mailing address

3886 Princeton Lakes Way SW, Suite 140A
Atlanta, GA 30331-5511

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XNone listed
Primary Podiatric Medicine Podiatrist 213EP1101XNone listed
Radiology Podiatrist 213ER0200XNone listed
Sports Medicine Podiatrist 213ES0000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed
Foot Surgery Podiatrist 213ES0131XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1437417722

Providence Foot & Ankle Centers, PC Inc's National Provider Identifier is 1437417722, issued on Apr 25, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Atlanta, GA. The record was last updated on Apr 25, 2012.