Organization
FOOT AND ANKLE SPECIALIST OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMALA WALTON DPM (OWNER)
(404) 933-4291
Entity
Organization
Contact information
Practice address
3400 CHAPEL HILL RD, SUITE 321, DOUGLASVILLE, GA 30135-1739
(678) 741-5346
(678) 999-3030
Mailing address
3400 CHAPEL HILL RD, SUITE 321, DOUGLASVILLE, GA 30135-1739
(678) 741-5346
(678) 999-3030
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138997C
—
GA
Enumeration date
11/02/2015
Last updated
11/02/2015
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