Organization
CROSSROADS PODIATRY & INGROWN NAIL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT J. MASON III DPM (OWNER)
(770) 251-8940
Entity
Organization
Contact information
Practice address
3231 HWY 34 EAST, SUITE C, NEWNAN, GA 30265
(770) 251-8940
(770) 251-5685
Mailing address
3231 HWY 34 EAST, SUITE C, NEWNAN, GA 30265
(770) 251-8940
(770) 251-5685
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000688
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00558874B
—
GA
01
—
POD000688
LICENSE
GA
Enumeration date
10/18/2006
Last updated
03/07/2023
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