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Organization
FOOT AND LEG CLINIC, PC
Active
Organization
FOOT AND LEG CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA S. TAYLOR (CREDENTIALING MANAGER)
(770) 941-3633
Entity
Organization
Contact information
Practice address
1650 MULKEY RD, AUSTELL, GA 30106-1186
(770) 941-3633
(770) 944-9038
Mailing address
1650 MULKEY RD, AUSTELL, GA 30106-1186
(770) 941-3633
(770) 944-9038
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
GA
Other
Enumeration date
02/20/2007
Last updated
05/19/2009
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