Organization
JPFO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON PEARCE FUTCH D,P.M. (OWNER)
(229) 293-8337
Entity
Organization
Contact information
Practice address
2410 N OAK ST, VALDOSTA, GA 31602-2533
(229) 293-8337
(229) 293-8338
Mailing address
2410 N OAK ST, VALDOSTA, GA 31602-2533
(229) 293-8337
(229) 293-8338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001085
GA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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