Organization · Type 2 NPI
Foot and Ankle Center of West Georgia PC
Foot Surgery Podiatrist · Carrollton, GA
NPI number
1801104716
Active
Practice location
100 Professional Pl # 100, Suite 101
Carrollton, GA 30117-3874
Fax (770) 834-2488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | POD000774 (GA) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1801104716
Foot and Ankle Center of West Georgia PC's National Provider Identifier is 1801104716, issued on Sep 14, 2010. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Carrollton, GA. The record was last updated on Nov 15, 2010.