Organization
FOOT SMART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRELL WATKINS (DIRECTOR OF OPERATIONS)
(770) 698-0996
Entity
Organization
Contact information
Practice address
1112 MADISON DR, ATLANTA, GA 30346-2433
(770) 698-0996
Mailing address
1112 MADISON DR, ATLANTA, GA 30346-2433
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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