Flat Shoals Foot & Ankle Center, LLC
in Decatur, GA. Organization (NPI-2).
NPI number1154500320
StatusActive
Last updated in NPPESOct 3, 2012
Details
- NPI
- 1154500320
- Entity type
- Organization (NPI-2)
- Legal business name
- Flat Shoals Foot & Ankle Center, LLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2007
- Last updated
- Oct 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | POD000952 | GA | Yes |
Practice location
2855 Candler RdSuite 10
Decatur, GA 30034-1415
Phone 404-241-7400 · Fax 404-241-7475
Mailing address
2855 Candler RdSuite 10
Decatur, GA 30034-1415
Phone 404-241-7400 · Fax 404-241-7475
Authorized official
Suzette Andrean Clements
Owner
4042417400
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