FOOT AND ANKLE CENTER OF WEST GEORGIA PC NPI 1801104716

NPI Information

NPI: 1801104716
Provider Name: FOOT AND ANKLE CENTER OF WEST GEORGIA PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
100 PROFESSIONAL PL # 100
SUITE 101
CARROLLTON, GA
ZIP 30117
Phone: (770) 834-9080
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FOOT AND ANKLE CENTER OF WEST GEORGIA PC is a foot surgery podiatrist in Carrollton, GA. FOOT AND ANKLE CENTER OF WEST GEORGIA PC NPI is 1801104716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 PROFESSIONAL PL # 100
SUITE 101
CARROLLTON, GA
ZIP 30117-874
Phone: (770) 834-9080
Fax: (770) 834-2488

The provider's authorized official is Guy H Langlo .
The authorized official title is Owner and has the following contact phone number (770) 834-9080.

The enumeration date for this NPI number is 9/14/2010 and was last updated on 11/15/2010.

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	213ES0131X	Podiatrist	Foot Surgery	POD000774	GEORGIA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202G480114	MEDICARE PIN	GEORGIA

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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