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Modern Podiatry, Llc
Podiatric Clinic/Center in Hampton, Georgia
NPI 1811538390

Modern Podiatry, Llc is a Podiatric Clinic/Center based in Fayetteville, GA and is specialized in Podiatric. Modern Podiatry, Llc practices in Hampton, GA. The NPI Number for Modern Podiatry, Llc is 1811538390 and holds a License No. (Georgia).

The current practice location address for Modern Podiatry, Llc is 990 Bear Creek Blvd Ste E, Hampton, GA and can be reached out via phone at 470-781-5585.

Location: 990 Bear Creek Blvd Ste E, Hampton, GA, 30214-5449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811538390
Provider Name
Modern Podiatry, Llc
Credential
Provider Entity Type
Organization
Address
990 Bear Creek Blvd Ste E, Hampton, GA, 30214-5449
Phone Number
470-781-5585
Fax Number
Provider Enumeration Date
10/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003233587A 05 GA
institution
Provider Business Practice Location Address Details
Address
990 Bear Creek Blvd Ste E
City
Hampton
State
Georgia
Zip
30228-1864
Phone Number
470-781-5585
Fax Number
person
Provider Business Mailing Address Details
Address
990 Bear Creek Blvd Ste E
City
Hampton
State
Georgia
Zip
30228-1864
Phone Number
470-781-5585
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
()
Definition
Definition to come...
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