Organization
FAMILY PODIATRY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W CUSHNER DPM (PRESIDENT / CEO)
(912) 489-8727
Entity
Organization
Contact information
Practice address
125A VICTORY DR, SWAINSBORO, GA 30401
(912) 489-8727
(912) 764-7882
Mailing address
95 BEL-AIR DRIVE, STATESBORO, GA 30461-6879
(912) 489-8727
(912) 764-7882
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000942
GA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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