ACTIVE ANKLE & FOOT CARE SPECIALIST
Organization (NPI-2)
Active
Preferred Provider Organization
Provider Information
- NPI Number
1831575034- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6335 HOSPITAL PARKWAY SUITE 305, JOHNS CREEK, GA, 300975712
- Phone
- (404) 373-7004
- Fax
- (404) 373-7008
Specialties & Taxonomies
Preferred Provider Organization
Primary License: GA