INTERNATIONAL CENTER FOR FOOT & ANKLE SURGERY NPI 1558562579

NPI Information

INTERNATIONAL CENTER FOR FOOT & ANKLE SURGERY is an ambulatory surgical clinic center in Jonesboro, GA. INTERNATIONAL CENTER FOR FOOT & ANKLE SURGERY NPI is 1558562579. The provider is registered as an organization entity type.

The provider's business location address is:

7130 MOUNT ZION BLVD
SUITE 14
JONESBORO, GA
ZIP 30236-566
Phone: (770) 716-2685
Fax: (770) 716-1384

The provider's authorized official is Gregory Alvarez .
The authorized official title is Vice- President and has the following contact phone number (770) 487-6716.

The CLIA number assigned to this NPI record is 11D0898688 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.

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:

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