| |
862 Amber Hill Ct, Grayson, GA 30017 | |
(770) 513-3556 | |
(770) 513-3556 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 862 Amber Hill Ct, Grayson, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619078276 | NPI | - | NPPES |
00771427E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD000824 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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862 Amber Hill Ct, Grayson, GA 30017 Ph: (770) 513-3556 | 862 Amber Hill Ct, Grayson, GA 30017 Ph: (770) 513-3556 |
Dr. William Kovalczyk, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 148 Mission Oak Dr, Grayson, GA 30017 Phone: 678-376-5714 |