Organization
VILLAGE PODIATRY GROUP, LLC.
Active
Parent organization
EXTREMITY HEALTHCARE, INC.
Other names
d/b/a Village Podiatry Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTREMITY HEALTHCARE, INC.
Authorized official
MITCHELL P. HILSEN D.P.M. (C.O.O.)
(678) 426-2171
Entity
Organization
Contact information
Practice address
2368 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4030
(706) 861-6200
(706) 861-6222
Mailing address
900 CIRCLE 75 PKWY. SE, SUITE 900, ATLANTA, GA 30339-3039
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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