Organization
OPTIMUM FOOT AND ANKLE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA DIANE PIERRE DPM (PHYSICIAN OWNER)
(404) 630-5534
Entity
Organization
Contact information
Practice address
2300 W PARK PLACE BLVD STE 122, STONE MOUNTAIN, GA 30087-3561
(470) 292-7116
(678) 786-1208
Mailing address
2300 W PARK PLACE BLVD STE 122, STONE MOUNTAIN, GA 30087-3561
(470) 207-0700
(470) 207-0702
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000853
GA
Other
Enumeration date
07/24/2017
Last updated
01/22/2018
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