FOOT AND ANKLE RECONSTRUCTION OF GEORGIA NPI 1356058937

NPI Information

NPI: 1356058937
Provider Name: FOOT AND ANKLE RECONSTRUCTION OF GEORGIA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
970 WOODSTOCK PKWY STE 200
WOODSTOCK, GA
ZIP 30188
Phone: (770) 999-0804
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FOOT AND ANKLE RECONSTRUCTION OF GEORGIA is a foot and ankle surgery podiatrist in Woodstock, GA. FOOT AND ANKLE RECONSTRUCTION OF GEORGIA NPI is 1356058937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 WOODSTOCK PKWY STE 200
WOODSTOCK, GA
ZIP 30188-869
Phone: (770) 999-0804
Fax: (770) 999-0814

The provider's authorized official is Andrea Cass .
The authorized official title is Owner / Provider and has the following contact phone number (404) 295-6412.

The enumeration date for this NPI number is 11/2/2022 and was last updated on 11/2/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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