Organization
CHOICE PODIATRY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA CHEREE MCLEAN (OFFICE MANGER)
(770) 702-8723
Entity
Organization
Contact information
Practice address
540 POWDER SPRINGS ST STE B6, MARIETTA, GA 30064-3559
(770) 702-8723
(707) 702-8809
Mailing address
540 POWDER SPRINGS ST STE B6, MARIETTA, GA 30064-3559
(770) 702-8723
(770) 702-8809
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00460780
RAILROAD MEDICARE
GA
Enumeration date
03/24/2008
Last updated
01/19/2021
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