Divine Podiatry Llc

NPI 1104235613 - Podiatrist - 213E00000X

NPI Details
NPI 1104235613
Enumeration Date 08/08/2014
Last Updated 07/20/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ALIYA ALIYA
Position PODIATRIST
Phone (609) 922-1866
Fax
Practice Location
1204 BENTLEY ESTATES DR
DACULA GA, 30019-7786, US
Phone (609) 922-1866
Fax
Business Location
1204 BENTLEY ESTATES DR
DACULA GA, 30019-7786, US
Phone (609) 922-1866
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Georgia
License Number POD00148
Remove 1104235613 NPI Number
 

According to our database, Divine Podiatry Llc NPI is 1104235613, taxonomy code is 213E00000X and license number is POD00148, license state is located at Georgia. Divine Podiatry Llc physically located at 1204 Bentley Estates Dr, Dacula GA, 30019-7786. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104235613 NPI number is provided on an as is basis without warranty of any kind. 1104235613 is maintained by the National Plan & Provider Enumeration System. The contents of Divine Podiatry Llc are for informational purposes only.