Organization
SATILLA FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE B DOWLING DPM (DOCTOR / OWNER)
(912) 490-3668
Entity
Organization
Contact information
Practice address
545 KNIGHT AVE, WAYCROSS, GA 31501-3354
(912) 490-3668
Mailing address
545 KNIGHT AVE, WAYCROSS, GA 31501-3354
(912) 490-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001151
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126292B
—
GA
Enumeration date
07/12/2012
Last updated
08/10/2016
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