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Southwest Atlanta Podiatry, Llc
Foot Surgery Podiatrist in Atlanta, Georgia
NPI 1124418918

Southwest Atlanta Podiatry, Llc is a Foot Surgery Podiatrist based in Atlanta, GA and is specialized in Foot Surgery. Southwest Atlanta Podiatry, Llc practices in Atlanta, GA. The NPI Number for Southwest Atlanta Podiatry, Llc is 1124418918 and holds a License No. POD 1031 (Georgia).

The current practice location address for Southwest Atlanta Podiatry, Llc is 3915 Cascade Rd Sw, Atlanta, GA and can be reached out via phone at 973-243-2666.

Location: 3915 Cascade Rd Sw, Atlanta, GA, 30331-8512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124418918
Provider Name
Southwest Atlanta Podiatry, Llc
Credential
Provider Entity Type
Organization
Address
3915 Cascade Rd Sw, Atlanta, GA, 30331-8512
Phone Number
973-243-2666
Fax Number
Provider Enumeration Date
01/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5551005 05 NJ
institution
Provider Business Practice Location Address Details
Address
3915 Cascade Rd Sw
City
Atlanta
State
Georgia
Zip
30331-8512
Phone Number
973-243-2666
Fax Number
person
Provider Business Mailing Address Details
Address
3915 Cascade Rd Sw
City
Atlanta
State
Georgia
Zip
30331-8512
Phone Number
973-243-2666
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
POD 1031 (Georgia)
Definition
Definition to come...
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