Organization
ATHENS FAMILY FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA PRINCE HERRON (OFFICE DIRECTOR)
(706) 549-3668
Entity
Organization
Contact information
Practice address
1060 GAINES SCHOOL RD, STE B -3, ATHENS, GA 30605-3198
(706) 549-3668
(706) 613-5069
Mailing address
1060 GAINES SCHOOL RD, STE -3, ATHENS, GA 30605-3198
(706) 549-3668
(706) 613-5069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
POD000733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000627228B
—
GA
Enumeration date
07/10/2007
Last updated
06/27/2008
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