Organization
THE FOOT & ANKLE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD MICHAEL TALARICO (PRESIDENT)
(912) 330-8885
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 505, POOLER, GA 31322-4052
(912) 330-8885
(912) 330-8858
Mailing address
1000 TOWNE CENTER BLVD, SUITE 505, POOLER, GA 31322-4052
(912) 330-8885
(912) 330-8858
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
945
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052053396005
BLUE CROSS BLUE SHIELD
GA
05
—
10071146
—
GA
01
—
1831106988
INDIVIDUAL NPI
GA
05
—
370807
—
GA
01
—
5784660001
DMERC MEDICARE
GA
05
—
953027052D
—
GA
01
—
DF3241
RAILROAD MEDICARE GROUP
GA
01
—
P00355897
MEDICARE RAILROAD PIN
GA
Enumeration date
08/08/2006
Last updated
02/23/2023
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