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Organization
FOOT AND ANKLE CENTER OF AUGUSTA
Active
Organization
FOOT AND ANKLE CENTER OF AUGUSTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA FYNE MD (PHYSICIAN)
(706) 739-0020
Entity
Organization
Contact information
Practice address
1142 DRUID PARK AVE, AUGUSTA, GA 30904-5850
(706) 739-0020
(706) 739-0024
Mailing address
1142 DRUID PARK AVE, AUGUSTA, GA 30904-5850
(706) 739-0020
(706) 739-0024
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000619
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
000619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428975B
—
GA
Enumeration date
04/18/2008
Last updated
04/18/2008
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