NPI 1003950114

Foot and Leg Clinic, PC

Organisation Foot & Ankle Surgery Podiatrist Austell, GA

Practice location

Address: 1650 Mulkey Rd, Austell, GA 30106-1186
Phone: (770) 941-3633
Fax: (770) 944-9038

Authorised official

Name: Jana S. Taylor
Title: Credentialing Manager
Phone: (770) 941-3633

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

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Registry record

NPI: 1003950114
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 19 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.