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Organization
GA FOOT AND ANKLE INSTITUTE
Active
Organization
GA FOOT AND ANKLE INSTITUTE
Active
Parent organization
GA FOOT AND ANKLE INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
GA FOOT AND ANKLE INSTITUTE
Authorized official
KIMBERLY VARNER (PRACTICE MANAGER)
(912) 355-6503
Entity
Organization
Contact information
Practice address
10164 FORD AVE, SUITE B, RICHMOND HILL, GA 31324-3949
(912) 355-6503
(912) 355-9837
Mailing address
310 EISENHOWER DR, BUILDING 7A, SAVANNAH, GA 31406-2632
(912) 355-6503
(912) 355-9837
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
885
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000880514
—
GA
Enumeration date
02/23/2015
Last updated
02/23/2015
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