Chateau Foot And Ankle Center, Llc

NPI 1134568124 - Podiatrist - 213ES0103X

NPI Details
NPI 1134568124
Enumeration Date 06/23/2013
Last Updated 01/20/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRADLEY DAVID BRADLEY
Position PODIATRIST-OWNER
Phone (770) 648-5040
Fax
Practice Location
1515 RIVER PL
SUITE 140
BRASELTON GA, 30517-5602, US
Phone (770) 648-5040
Fax
Business Location
1515 RIVER PL
SUITE 140
BRASELTON GA, 30517-5602, US
Phone (770) 648-5040
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Georgia
License Number POD000569
Remove 1134568124 NPI Number
 

According to our database, Chateau Foot And Ankle Center, Llc NPI is 1134568124, taxonomy code is 213ES0103X and license number is POD000569, license state is located at Georgia. Chateau Foot And Ankle Center, Llc physically located at 1515 River Pl, Braselton GA, 30517-5602. NPI Number 1033115704 has the healthcare provider type.

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1134568124 NPI number is provided on an as is basis without warranty of any kind. 1134568124 is maintained by the National Plan & Provider Enumeration System. The contents of Chateau Foot And Ankle Center, Llc are for informational purposes only.