Organization
EMANUEL FOOT & ANKLE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY ALVIN TAYLOR DPM (PODIATRIST)
(478) 237-8844
Entity
Organization
Contact information
Practice address
120B VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-8844
(478) 237-8887
Mailing address
120B VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-8844
(478) 237-8887
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341274
WELLCARE
GA
Enumeration date
01/03/2008
Last updated
01/03/2008
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