Organization
GOLDEN ISLES FOOT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GROLEMUND RN (MANAGER)
(912) 264-6150
Entity
Organization
Contact information
Practice address
10 PROFESSIONAL DR, BRUNSWICK, GA 31520-3774
(912) 264-6150
(912) 264-5712
Mailing address
10 PROFESSIONAL DR, BRUNSWICK, GA 31520-3774
(912) 264-6150
(912) 264-5712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00963597A
—
GA
Enumeration date
07/30/2006
Last updated
12/27/2007
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