Organization
DIABETIC FOOTCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SUE FAIRCLOTH (OWNER)
(478) 589-7807
Entity
Organization
Contact information
Practice address
1866 OLD SAVANNAH RD, MIDVILLE, GA 30441-4420
(478) 589-7807
(478) 589-7923
Mailing address
1866 OLD SAVANNAH RD, MIDVILLE, GA 30441-4420
(478) 589-7807
(478) 589-7923
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4537110001
GA
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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