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Organization
FOOT AND ANKLE SPECIALIST OF GEORGIA, LLC
Active
Organization
FOOT AND ANKLE SPECIALIST OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMALA WALTON DPM (OWNER)
(404) 933-4291
Entity
Organization
Contact information
Practice address
3400 CHAPEL HILL RD, SUITE 321, DOUGLASVILLE, GA 30135-1739
(678) 741-5346
(678) 999-3030
Mailing address
3400 CHAPEL HILL RD, SUITE 321, DOUGLASVILLE, GA 30135-1739
(678) 741-5346
(678) 999-3030
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138997C
—
GA
Enumeration date
11/02/2015
Last updated
11/02/2015
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