Organization
DIABETIC FOOT AND ANKLE CLINIC OF GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZUKA NWAEDOZIE DPM (CEO)
(706) 232-6739
Entity
Organization
Contact information
Practice address
101 JOHN MADDOX DR NW, SUITE A, ROME, GA 30165-1419
(706) 232-6739
Mailing address
3364 MEDINA DR, JONESBORO, GA 30236-6873
(646) 842-0447
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001142
GA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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