Organization
FOOT, ANKLE & LEG CENTER OF ROME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZUKA IFEYINWA NWAEDOZIE D.P.M (C.E.O)
(706) 232-4577
Entity
Organization
Contact information
Practice address
126 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 232-4577
(706) 232-6750
Mailing address
126 THREE RIVERS DR NE, ROME, GA 30161-4999
(706) 232-4577
(706) 232-6750
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001142
GA
Other
Enumeration date
08/16/2011
Last updated
09/20/2012
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