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Organization
DIABETIC FOOT AND ANKLE CLINIC OF GEORGIA, INC
Active
Organization
DIABETIC FOOT AND ANKLE CLINIC OF GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZUKA NWAEDOZIE DPM (CEO)
(706) 232-6739
Entity
Organization
Contact information
Practice address
101 JOHN MADDOX DR NW, SUITE A, ROME, GA 30165-1419
(706) 232-6739
Mailing address
3364 MEDINA DR, JONESBORO, GA 30236-6873
(646) 842-0447
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001142
GA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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