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Organization
FOOT AND ANKLE RECONSTRUCTION CENTER OF GEORGIA LLC
Active
Organization
FOOT AND ANKLE RECONSTRUCTION CENTER OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRICE COLLINS DPM (OWNER/PHYSICIAN)
(937) 477-4445
Entity
Organization
Contact information
Practice address
1025 E FREEWAY DR SE, CONYERS, GA 30094-5965
(937) 477-4445
Mailing address
1025 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 929-3338
(770) 760-7942
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
08/22/2019
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