FOOT AND ANKLE CENTER OF AUGUSTA NPI 1922272012

NPI Information

FOOT AND ANKLE CENTER OF AUGUSTA is a podiatrist in Augusta, GA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT AND ANKLE CENTER OF AUGUSTA NPI is 1922272012. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1142 DRUID PARK AVE
AUGUSTA, GA
ZIP 30904-850
Phone: (706) 739-0020
Fax: (706) 739-0024

The provider's authorized official is Latanya Fyne .
The authorized official title is Physician and has the following contact phone number (706) 739-0020.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 4/18/2008.

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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