Organization
FOOT & ANKLE INSTITUTE OF SOUTH GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SWORDS (BILLING MANAGER)
(229) 444-6334
Entity
Organization
Contact information
Practice address
4370 KINGS WAY STE B, VALDOSTA, GA 31602-6905
(229) 244-0070
(229) 244-0080
Mailing address
4370 KINGS WAY STE B, VALDOSTA, GA 31602-6905
(229) 244-0070
(229) 244-0080
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
982802481A
—
GA
Enumeration date
04/29/2010
Last updated
11/04/2010
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