institution
Dwayne A Lay Llc
Foot & Ankle Surgery Podiatrist in Canton, Georgia
NPI 1598269714

Dwayne A Lay Llc is a Foot & Ankle Surgery Podiatrist based in Canton, GA and is specialized in Foot & Ankle Surgery. Dwayne A Lay Llc practices in Canton, GA. The NPI Number for Dwayne A Lay Llc is 1598269714 and holds a License No. POD001230 (Georgia).

The current practice location address for Dwayne A Lay Llc is 10515 Bells Ferry Rd Ste 200, Canton, GA and can be reached out via phone at 770-765-5828 and via fax at 678-388-0977.

Location: 10515 Bells Ferry Rd Ste 200, Canton, GA, 30114-4242
institution
Provider Profile Details
NPI Number
1598269714
Provider Name
Dwayne A Lay Llc
Credential
Provider Entity Type
Organization
Address
10515 Bells Ferry Rd Ste 200, Canton, GA, 30114-4242
Phone Number
770-765-5828
Fax Number
678-388-0977
Provider Enumeration Date
03/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598269714 01 GA AETNA
1598269714 01 GA TRANS AMERICA
1598269714 01 GA UNITED OF OMAHA
1598269714 01 GA ANTHEM OF GEORGIA
1598269714 01 GA CHAMPVA
1598269714 01 GA GHI
1598269714 01 GA UNITEDHEALTHCARE
1598269714 01 GA CIGNA
1598269714 01 GA TRICARE EAST/LIFE/PRIME
1598269714 01 GA RAILROAD MEDICARE
1598269714 01 GA HUMANA
institution
Provider Business Practice Location Address Details
Address
10515 Bells Ferry Rd Ste 200
City
State
Zip
30114-4242
Phone Number
770-765-5828
Fax Number
678-388-0977
person
Provider Business Mailing Address Details
Address
10515 Bells Ferry Rd Ste 200
City
State
Zip
30114-4242
Phone Number
770-765-5828
Fax Number
678-388-0977
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD001230 (Georgia)
Definition
Definition to come...
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