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Organization

DEKALB FOOT CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANNE NEELEY (MANAGER/OWNER)
(256) 717-6610
Entity
Organization

Contact information

Practice address
2202 JORDAN RD SW, SUITE 500A, FORT PAYNE, AL 35968-3691
(256) 845-3045
(256) 845-3046
Mailing address
2202 JORDAN RD SW, SUITE 500A, FORT PAYNE, AL 35968-3691
(256) 845-3045
(256) 845-3046

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
AL

Other

Enumeration date
03/30/2016
Last updated
03/30/2016
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