MEDICARE: ADVANCED FOOT CARE LLP

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1518020361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED FOOT CARE LLP

Provider Business Mailing Address
First Line	:	2368 BATTLEFIELD PKWY
Second Line	:
City	:	FT OGLETHORPE
State	:	GA
Zip	:	30742-4030
Country	:	US
Telephone Number	:	706-861-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2368 BATTLEFIELD PKWY
Second Line	:
City	:	FT OGLETHORPE
State	:	GA
Zip	:	30742-4030
Country	:	US
Telephone Number	:	706-861-6200
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	HOLLY BILLINGSLEY
Credential	:
Telephone Number	:	706-861-6200

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	10/15/2014

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