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Organization
PODIATRY MEDICAL SURGICAL LLC
Active
Organization
PODIATRY MEDICAL SURGICAL LLC
Active
Parent organization
PODIATRY MEDICAL SURGICAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PODIATRY MEDICAL SURGICAL LLC
Authorized official
THOMAS JOHN LEGACKI III DPM (DR)
(912) 301-2880
Entity
Organization
Contact information
Practice address
481 ELMA G MILES PKWY STE C, HINESVILLE, GA 31313-4004
(912) 301-2880
Mailing address
481 ELMA G MILES PKWY STE C, HINESVILLE, GA 31313-4004
(912) 301-2880
(888) 830-1576
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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