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Organization

ADVANCED FOOT CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARY TRENT DONOHUE DPM (OWNER)
(504) 439-8530
Entity
Organization

Contact information

Practice address
831 DUBLIN ST, NEW ORLEANS, LA 70118-1023
(504) 439-8530
(504) 861-3132
Mailing address
831 DUBLIN ST, NEW ORLEANS, LA 70118-1023
(504) 439-8530
(504) 861-3132

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PD195R

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05001054
MS
05
1549525
LA
01
523
PODIATRY MEDICAL LICENSE - VOLUTARILLY PLACED ON INNACTIVE STATUS
SC
01
80180
PODIATRY MEDICAL LICENSE
MS
01
PD195R
PODIATRY MEDICAL LICENSE
LA
05
PD5232
SC
Enumeration date
09/26/2013
Last updated
10/10/2013
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