Ankle And Foot Centers Of Georgia, LLC
Non-Pharmacy Dispensing Site in Newnan, GA. Organization (NPI-2).
NPI number1801444591
StatusActive
Last updated in NPPESFeb 17, 2021
Details
- NPI
- 1801444591
- Entity type
- Organization (NPI-2)
- Legal business name
- Ankle And Foot Centers Of Georgia, LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2019
- Certification date
- Feb 17, 2021
- Last updated
- Feb 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Practice location
2326 Highway 34 E Ste 200Newnan, GA 30265-1328
Phone 678-561-9000
Mailing address
1975 Highway 54 W Ste 205Peachtree City, GA 30269-4794
Phone 678-561-9000
Authorized official
Ketan Patel
Pharmacy Managing Partner
6785619000
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