| |
583 Highland Xing Ste 130, Ellijay, GA 30540-6403 | |
(706) 635-6161 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 583 Highland Xing Ste 130, Ellijay, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1063760809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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900 Circle 75 Pkwy., Ste. 900, Atlanta, GA 30339-3084 Ph: (770) 384-0284 | 583 Highland Xing Ste 130, Ellijay, GA 30540-6403 Ph: (706) 635-6161 |