Organization
FOOT AND ANKLE RECONSTRUCTION CENTER OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRICE COLLINS DPM (OWNER/PHYSICIAN)
(937) 477-4445
Entity
Organization
Contact information
Practice address
1025 E FREEWAY DR SE, CONYERS, GA 30094-5965
(937) 477-4445
Mailing address
1025 E FREEWAY DR SE, CONYERS, GA 30094-5965
(770) 929-3338
(770) 760-7942
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
08/22/2019
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