Whalio Doctors

NPI 1013174457

Southern Podiatry Group, PC

Organisation Foot & Ankle Surgery Podiatrist Tifton, GA

Practice location

Address
820 Love Ave Suite B, Tifton, GA 31794-4071
Phone
(229) 382-5599
Mailing address
2718 N Oak St, Valdosta, GA 31602-1781

Authorised official

Name
Avis Griffin
Title
Office Manager
Phone
(229) 242-3668

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Registry record

NPI
1013174457
Entity type
Organization
NPI issued
22 May 2008
Record last updated
1 Dec 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.