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Southern Podiatry Group, Pc
Foot & Ankle Surgery Podiatrist in Tifton, Georgia
NPI 1013174457

Southern Podiatry Group, Pc is a Foot & Ankle Surgery Podiatrist based in Valdosta, GA and is specialized in Foot & Ankle Surgery. Southern Podiatry Group, Pc practices in Tifton, GA. The NPI Number for Southern Podiatry Group, Pc is 1013174457 and holds a License No. (Georgia).

The current practice location address for Southern Podiatry Group, Pc is 820 Love Ave, Tifton, GA and can be reached out via phone at 229-382-5599.

Location: 820 Love Ave, Tifton, GA, 31602-1781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013174457
Provider Name
Southern Podiatry Group, Pc
Credential
Provider Entity Type
Organization
Address
820 Love Ave, Tifton, GA, 31602-1781
Phone Number
229-382-5599
Fax Number
Provider Enumeration Date
05/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300026567A 05 GA
institution
Provider Business Practice Location Address Details
Address
820 Love Ave
City
Tifton
State
Georgia
Zip
31794-4071
Phone Number
229-382-5599
Fax Number
person
Provider Business Mailing Address Details
Address
820 Love Ave
City
Tifton
State
Georgia
Zip
31794-4071
Phone Number
229-382-5599
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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