Organization
PERSONAL FOOT AND ANKLE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THUY GIANG DPM (PRESIDENT)
(478) 552-1086
Entity
Organization
Contact information
Practice address
1240 GA HIGHWAY 15 N, SANDERSVILLE, GA 31082-7303
(478) 552-1086
(478) 552-6333
Mailing address
PO BOX 5969, SANDERSVILLE, GA 31082-5969
(478) 552-1086
(478) 552-6333
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD000790
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000723907B
—
GA
01
—
958015
BCBS GA
GA
Enumeration date
05/28/2006
Last updated
12/31/2012
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