Healthcare Provider Details

I. General information

NPI: 1326109711
Provider Name (Legal Business Name): COLUMBUS FOOT CARE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 TENTH AVE STE 120
COLUMBUS GA
31901
US

IV. Provider business mailing address

1900 TENTH AVE STE 120
COLUMBUS GA
31901
US

V. Phone/Fax

Practice location:
  • Phone: 706-323-6914
  • Fax: 706-596-1281
Mailing address:
  • Phone: 706-323-6914
  • Fax: 706-596-1281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: JODI LYNNETTE DILLON
Title or Position: OFFICE MANAGER
Credential:
Phone: 706-325-0381