NPI 1760538995

Ankle and Foot Center of Georgia, LLC

Organisation Podiatrist Carrollton, GA

Practice location

Address: 104 Doctors Dr, Carrollton, GA 30117-4460
Phone: (770) 838-4151
Fax: (770) 838-4887
Mailing address: 1555 Doctors Dr STE 106, Lagrange, GA 30240-4132

Authorised official

Name: Richard Paul Hollstrom,jr
Title: Owner
Phone: (770) 838-4151

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Georgia →

Registry record

NPI: 1760538995
Entity type: Organization
NPI issued: 29 Jan 2007
Record last updated: 10 Jun 2008

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.