Organization
COMPREHENSIVE PODIATRY, LLC
Active
Other names
Comprehensive Podiatry Clinic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GAYLE (OWNER)
(678) 938-0159
Entity
Organization
Contact information
Practice address
624 EL PRADO CT, STONE MOUNTAIN, GA 30083
(404) 435-6389
Mailing address
624 EL PRADO CT, STONE MOUNTAIN, GA 30083-3822
(404) 435-6389
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001076
GA
Other
Enumeration date
03/26/2008
Last updated
07/09/2018
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