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NPI Code Detail

MEDICARE: ANKLE AND FOOT ASSOC, LLC

MEDICARE: ANKLE AND FOOT ASSOC, LLC
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
1213ES0103XFoot & Ankle Surgery Podiatrist

General Provider Information

NPI Number : 1952841140
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANKLE AND FOOT ASSOC, LLC
Provider Business Mailing Address
First Line : 501 W ONEIDA ST
Second Line :
City : WAYCROSS
State : GA
Zip : 31501-5337
Country : US
Telephone Number : 912-283-6471
Fax Number : 912-283-3590
Provider Business Practice Location Address
First Line : 205 S DOGWOOD DR
Second Line :
City : NASHVILLE
State : GA
Zip : 31639-2157
Country : US
Telephone Number : 229-382-3338
Fax Number : 229-686-2231
Authorized Official
Title or Position : CEO
Name : DAVID P MURPHY
Credential : DPM
Telephone Number : 912-283-6471
Provider Enumeration Date : 03/07/2017
Last Update Date : 03/07/2017

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Directions to “ANKLE AND FOOT ASSOC, LLC ” Practice Location

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