Organization
KALISH FOOT & ANKLE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MAYNOR (CREDENTIALING COORDINATOR)
(770) 477-9535
Entity
Organization
Contact information
Practice address
6911 TARA BLVD STE 101, JONESBORO, GA 30236-1503
(770) 477-9535
Mailing address
6911 TARA BLVD STE 101, JONESBORO, GA 30236-1503
(770) 477-9535
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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