ALLIED ANKLE & FOOTCARE CENTERS PC NPI 1821263963

NPI Information

ALLIED ANKLE & FOOTCARE CENTERS PC is a foot and ankle surgery podiatrist in Lawrenceville, GA. ALLIED ANKLE & FOOTCARE CENTERS PC NPI is 1821263963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 HURRICANE SHOALS RD NE
SUITE B
LAWRENCEVILLE, GA
ZIP 30046-454
Phone: (770) 277-7373
Fax: (770) 277-1755

The provider's authorized official is James Louis Bouchard .
The authorized official title is Medical Director and has the following contact phone number (770) 255-0420.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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