NPI 1013174457
Southern Podiatry Group, PC
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
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.