Organization
26 MEDICAL, LLC
Active
Parent organization
26 MEDICAL, LLC
Other names
26 Foot and Ankle, Madison, 26 Foot and Ankle, Martinez, 26 Foot and Ankle, Grovetown
Organization subpart
Yes
Provider details
NPI number
Legal business name
26 MEDICAL, LLC
Authorized official
HOPE SPIVEY (BILLING COORDINATOR)
(706) 597-0102
Entity
Organization
Contact information
Practice address
202 INSPERON DR STE 202, GROVETOWN, GA 30813-0602
(706) 597-0102
(706) 257-0258
Mailing address
6350 LAKE OCONEE PKWY STE 110, GREENSBORO, GA 30642-6490
(706) 597-0102
(706) 257-0258
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326594888
PODIATRY
GA
Enumeration date
08/25/2016
Last updated
08/01/2022
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