Foot And Leg Clinic, Pa

NPI 1740306059 - Clinic/Center - 261QA1903X

NPI Details
NPI 1740306059
Enumeration Date 03/21/2007
Last Updated 08/13/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JANA S. JANA
Position CREDENTIALING MANAGER
Phone (770) 544-0444
Fax (770) 874-8950
Practice Location
1650 MULKEY RD
AUSTELL GA, 30106-1186, US
Phone (770) 544-0444
Fax (770) 874-8950
Business Location
1652 MULKEY RD
AUSTELL GA, 30106, US
Phone (770) 544-0444
Fax (770) 874-8950
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Foot And Leg Clinic, Pa NPI is 1740306059, taxonomy code is 261QA1903X Foot And Leg Clinic, Pa physically located at 1650 Mulkey Rd, Austell GA, 30106-1186. NPI Number 1033115704 has the healthcare provider type.

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1740306059 NPI number is provided on an as is basis without warranty of any kind. 1740306059 is maintained by the National Plan & Provider Enumeration System. The contents of Foot And Leg Clinic, Pa are for informational purposes only.