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NPI Code Detail

MEDICARE: GEORGIA FOOT CARE, INC.

MEDICARE: GEORGIA FOOT CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine Podiatrist000730GA

General Provider Information

NPI Number : 1295773802
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGIA FOOT CARE, INC.
Provider Business Mailing Address
First Line : 4704 CHATEAU FOREST WAY
Second Line :
City : HOSCHTON
State : GA
Zip : 30548-6232
Country : US
Telephone Number : 770-307-1094
Fax Number : 770-307-1443
Provider Business Practice Location Address
First Line : 4704 CHATEAU FOREST WAY
Second Line :
City : HOSCHTON
State : GA
Zip : 30548-6232
Country : US
Telephone Number : 770-307-1094
Fax Number : 770-307-1443
Authorized Official
Title or Position : CEO/PODIATRIST
Name : DR. DELORES ANN COMBSBARNES
Credential : D.P.M.
Telephone Number : 770-307-1094
Provider Enumeration Date : 06/04/2006
Last Update Date : 08/22/2020

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Directions to “GEORGIA FOOT CARE, INC. ” Practice Location

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