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Organization
ANKLE AND FOOT CLINIC OF GEORGIA, INC.
Active
Organization
ANKLE AND FOOT CLINIC OF GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA J PARKER D.P.M. (PRESIDENT)
(770) 460-5064
Entity
Organization
Contact information
Practice address
730 LANIER AVE W, FAYETTEVILLE, GA 30214-1509
(770) 460-5064
(770) 460-0838
Mailing address
730 LANIER AVE W, FAYETTEVILLE, GA 30214-1509
(770) 460-5064
(770) 460-0838
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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