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General NPI Number Information
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NPI Number | 1841597499
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Entity Type | Organization
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Legal Business Name | AMERICAN FOOT & LEG SPECIALISTS, P.C.
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 122 N PARK DR
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City | FAYETTEVILLE
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State | GA
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Zip | 30214
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Country | US
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Telephone | 404-363-9944
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Fax | 770-460-4619
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Provider Business Mailing Address
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Address Line | 425 FOREST PKWY SUITE 101
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City | FOREST PARK
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State | GA
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Zip | 30297-2185
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Country | US
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Telephone | 404-363-9944
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Fax | 404-362-0591
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SHERRI L BARRON
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Credential |
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Telephone | 404-363-9944
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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 | POD000808
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License Number State | GA
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