Organization
PARKWOOD PODIATRY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA D COOPER (OFFICE MANAGER)
(912) 265-4766
Entity
Organization
Contact information
Practice address
600 E OGLETHORPE HWY, HINESVILLE, GA 31313-2806
(912) 368-3036
(912) 368-3526
Mailing address
2500 STARLING ST, STE 301, BRUNSWICK, GA 31520-4268
(912) 265-4766
(912) 267-9857
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/07/2008
Last updated
03/11/2008
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