Organization
FOOT AND LEG CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANA S. TAYLOR (CREDENTIALING MANAGER)
(770) 941-3633
Entity
Organization
Contact information
Practice address
1650 MULKEY RD, AUSTELL, GA 30106-1186
(770) 941-3633
(770) 944-9038
Mailing address
1650 MULKEY RD, AUSTELL, GA 30106-1186
(770) 941-3633
(770) 944-9038
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
GA
Other
Enumeration date
02/20/2007
Last updated
05/19/2009
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