institution
Personal Foot And Ankle Specialist
Primary Podiatric Medicine Podiatrist in Sandersville, Georgia
NPI 1457308132

Personal Foot And Ankle Specialist is a Primary Podiatric Medicine Podiatrist based in Sandersville, GA and is specialized in Primary Podiatric Medicine. Personal Foot And Ankle Specialist practices in Sandersville, GA. The NPI Number for Personal Foot And Ankle Specialist is 1457308132 and holds a License No. POD000790 (Georgia).

The current practice location address for Personal Foot And Ankle Specialist is 1240 Ga Highway 15 N, Sandersville, GA and can be reached out via phone at 478-552-1086 and via fax at 478-552-6333.

Location: 1240 Ga Highway 15 N, Sandersville, GA, 31082-5969
institution
Provider Profile Details
NPI Number
1457308132
Provider Name
Personal Foot And Ankle Specialist
Credential
Provider Entity Type
Organization
Address
1240 Ga Highway 15 N, Sandersville, GA, 31082-5969
Phone Number
478-552-1086
Fax Number
478-552-6333
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
958015 01 GA BCBS GA
000723907B 05 GA
institution
Provider Business Practice Location Address Details
Address
1240 Ga Highway 15 N
City
State
Zip
31082-7303
Phone Number
478-552-1086
Fax Number
478-552-6333
person
Provider Business Mailing Address Details
Address
1240 Ga Highway 15 N
City
State
Zip
31082-7303
Phone Number
478-552-1086
Fax Number
478-552-6333
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
POD000790 (Georgia)
Definition
Definition to come...
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