Organization · Type 2 NPI
Foot and Ankle Institute of Georgia
Foot & Ankle Surgery Podiatrist · Conyers, GA
NPI number
1649631037
Active
Practice location
1815 Highway 138 SE # Sr, Suite 600
Conyers, GA 30013-2079
Fax (770) 922-8956
Mailing address
1775 Parker Rd SE Ste C240
Conyers, GA 30094-6679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD001201 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1649631037
Foot and Ankle Institute of Georgia's National Provider Identifier is 1649631037, issued on Mar 11, 2016. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Conyers, GA. The record was last updated on Jul 15, 2020.