Ankle And Foot Center Of Georgia,llc
Podiatrist in Lagrange, GA. Organization (NPI-2).
NPI number1750436127
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1750436127
- Entity type
- Organization (NPI-2)
- Legal business name
- Ankle And Foot Center Of Georgia,llc
- Organization subpart
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
1555 Doctors DrSte 106
Lagrange, GA 30240-4132
Phone 706-845-9370 · Fax 706-845-9371
Mailing address
1555 Doctors DrSte 106
Lagrange, GA 30240-4132
Phone 706-845-9370 · Fax 706-845-9371
Authorized official
Richard Paul Hollstrom,jr
Owner
7068459370
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Podiatrist providers in Lagrange, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.