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Organization
PRIMARY FOOT & ANKLE CARE
Active
Organization
PRIMARY FOOT & ANKLE CARE
Active
Other names
Tom Dang
Organization subpart
No
Provider details
NPI number
Authorized official
TOM TIEN DANG DPM (PRESIDENT)
(770) 513-3556
Entity
Organization
Contact information
Practice address
862 AMBER HILL CT, GRAYSON, GA 30017
(770) 513-3556
(770) 513-3556
Mailing address
862 AMBER HILL CT, GRAYSON, GA 30017
(770) 513-3556
(770) 513-3556
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00771427E
—
GA
Enumeration date
09/26/2006
Last updated
08/22/2020
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