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Organization
AUGUSTA FOOT & ANKLE, PC
Active
Organization
AUGUSTA FOOT & ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIAN NATHAN BENNETT D.P.M (CFO)
(706) 312-3668
Entity
Organization
Contact information
Practice address
4350 TOWNE CENTRE DR, SUITE 3000, EVANS, GA 30809-3301
(706) 312-3668
Mailing address
4350 TOWNE CENTRE DR, SUITE 3000, EVANS, GA 30809-3301
(706) 312-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000728
GA
Other
Enumeration date
05/18/2007
Last updated
10/28/2010
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