Organization
DIABETIC FOOT CARE SPECIALIST OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA IOLA BROWN DPM (CEO/OWNER)
(404) 759-6755
Entity
Organization
Contact information
Practice address
238 WALKER ST SW, UNIT #12, ATLANTA, GA 30313-1266
(404) 759-6755
(334) 271-3768
Mailing address
238 WALKER ST SW, UNIT #12, ATLANTA, GA 30313-1266
(404) 759-6755
(334) 271-3768
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD000681
GA
Other
Enumeration date
09/11/2007
Last updated
03/26/2008
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