Organization · Type 2 NPI
Personal Foot and Ankle Specialist
Primary Podiatric Medicine Podiatrist · Sandersville, GA
NPI number
1457308132
Active
Practice location
1240 Ga Highway 15 N
Sandersville, GA 31082-7303
Fax (478) 552-6333
Mailing address
PO Box 5969
Sandersville, GA 31082-5969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | POD000790 (GA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1457308132
Personal Foot and Ankle Specialist's National Provider Identifier is 1457308132, issued on May 28, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Sandersville, GA. The record was last updated on Dec 31, 2012.