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Organization
ANKLE AND FOOT CENTER OF GEORGIA, LLC
Active
Organization
ANKLE AND FOOT CENTER OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAUL HOLLSTROM,JR DPM (OWNER)
(770) 838-4151
Entity
Organization
Contact information
Practice address
104 DOCTORS DR, CARROLLTON, GA 30117-4460
(770) 838-4151
(770) 838-4887
Mailing address
1555 DOCTORS DR, STE 106, LAGRANGE, GA 30240-4132
(706) 845-9370
(706) 845-9371
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
06/10/2008
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