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General NPI Number Information
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NPI Number | 1518515980
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Entity Type | Organization
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Legal Business Name | 26 FOOT AND ANKLE MADISON LLC
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2151 EATONTON RD STE I
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City | MADISON
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State | GA
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Zip | 30650-5093
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Country | US
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Telephone | 706-257-0257
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Fax | 706-257-0258
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Provider Business Mailing Address
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Address Line | 6350 LAKE OCONEE PKWY STE110 PMB 30
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City | GREENSBORO
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State | GA
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Zip | 30642
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Country | US
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Telephone | 706-257-0257
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Fax | 706-257-0258
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Authorized Official
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Title or Position | DPM/ OWNER
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Name | CHRISTOPHER R MENKE
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Credential | DPM
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Telephone | 706-257-0257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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