institution
Loganville Foot And Ankle Medicine Llc
Foot & Ankle Surgery Podiatrist in Loganville, Georgia
NPI 1588821318

Loganville Foot And Ankle Medicine Llc is a Foot & Ankle Surgery Podiatrist based in Loganville, GA and is specialized in Foot & Ankle Surgery. Loganville Foot And Ankle Medicine Llc practices in Loganville, GA. The NPI Number for Loganville Foot And Ankle Medicine Llc is 1588821318 and holds a License No. POD001006 (Georgia).

The current practice location address for Loganville Foot And Ankle Medicine Llc is 135 Lee Byrd Rd, Loganville, GA and can be reached out via phone at 678-639-4209 and via fax at 678-639-4210.

Location: 135 Lee Byrd Rd, Loganville, GA, 30052-2310
institution
Provider Profile Details
NPI Number
1588821318
Provider Name
Loganville Foot And Ankle Medicine Llc
Credential
Provider Entity Type
Organization
Address
135 Lee Byrd Rd, Loganville, GA, 30052-2310
Phone Number
678-639-4209
Fax Number
678-639-4210
Provider Enumeration Date
05/20/2008
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
829746724O 05 GA
7595720 01 GA AETNA
581994261 01 GA UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
135 Lee Byrd Rd
City
State
Zip
30052-2310
Phone Number
678-639-4209
Fax Number
678-639-4210
person
Provider Business Mailing Address Details
Address
135 Lee Byrd Rd
City
State
Zip
30052-2310
Phone Number
678-639-4209
Fax Number
678-639-4210
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD001006 (Georgia)
Definition
Definition to come...
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