| |
2809 Pine St Ste 102, Unadilla, GA 31091-7701 | |
(786) 273-2134 | |
(478) 934-7701 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 2809 Pine St Ste 102, Unadilla, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619228046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1297, Hawkinsville, GA 31036-7297 Ph: (478) 783-0200 | 2809 Pine St Ste 102, Unadilla, GA 31091-7701 Ph: (786) 273-2134 |