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Organization
PODIATRY GROUP OF GEORGIA, INC
Active
Organization
PODIATRY GROUP OF GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY KATHRYN GEPHART D.P.M. (OWNER/PHYSICIAN)
40408063731
Entity
Organization
Contact information
Practice address
3901 ROSWELL RD, 340, MARIETTA, GA 30062-6250
(404) 806-3731
(770) 321-0001
Mailing address
4880 LOWER ROSWELL RD, SUITE 165 PMB 150, MARIETTA, GA 30068-4375
(404) 806-3731
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001122
GA
Other
Enumeration date
12/30/2010
Last updated
08/14/2015
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