# GENESIS FOOT & LEG SPECIALISTS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952727992
- **Authorized official:** KIMBERLY DAVIS (CREDENTIALING SPECIALISTS)
- **Authorized official phone:** (912) 777-6519

## Contact information

- **Practice address:** 21563 WYHTE HARDEE BLVD, HARDEEVILLE, SC 29927
- **Practice address phone:** (912) 777-6519
- **Practice address fax:** (912) 777-6584
- **Mailing address:** 836 EAST 65TH STREET, UNIT 34, SAVANNAH, GA 31404
- **Mailing address phone:** (912) 777-6519
- **Mailing address fax:** (912) 777-6584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 625 | SC | Yes |

## Other

- **Enumeration date:** 03/14/2014
- **Last updated:** 03/14/2014