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Organization

FAMILY FOOT CARE CENTER

Active
Other names
JON T. MIDDLETON, DPM, PC
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LISA EVANS (OFFICE ADMINISTRATOR)
(706) 335-4884
Entity
Organization

Contact information

Practice address
679 HOSPITAL RD, COMMERCE, GA 30529-1146
(706) 335-4884
(706) 336-8798
Mailing address
679 HOSPITAL RD, COMMERCE, GA 30529-1146
(706) 335-4884
(706) 336-8798

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00865103A
GA
Enumeration date
01/10/2008
Last updated
02/22/2008
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