26 Foot And Ankle Madison LLC
Podiatrist, Foot & Ankle Surgery in Madison, GA. Organization (NPI-2).
NPI number1518515980
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1518515980
- Entity type
- Organization (NPI-2)
- Legal business name
- 26 Foot And Ankle Madison LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 29, 2019
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Practice location
2151 Eatonton Rd Ste IMadison, GA 30650-5093
Phone 706-257-0257 · Fax 706-257-0258
Mailing address
6350 Lake Oconee PkwySte110 Pmb 30
Greensboro, GA 30642
Phone 706-257-0257 · Fax 706-257-0258
Authorized official
Christopher R Menke
Dpm/ Owner
7062570257
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