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Organization
DR OSH AND ASSOCIATES FOOT AND LEG CLINIC, PC
Active
Organization
DR OSH AND ASSOCIATES FOOT AND LEG CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVARISTUS I OSHIOKPEKHAI DPM (PRESIDENT/CEO)
(478) 328-6466
Entity
Organization
Contact information
Practice address
1030 PEACH PKWY STE 1, FORT VALLEY, GA 31030-8191
(478) 822-9088
(478) 822-1177
Mailing address
105 WEXFORD CIR, BONAIRE, GA 31005-4734
(478) 328-6466
(478) 328-1338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001117
GA
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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