Organization
ANKLE AND FOOT CENTER OF GEORGIA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P HOLLSTROM JR. DPM (OWNER)
(770) 755-1949
Entity
Organization
Contact information
Practice address
2700 HIGHWAY 34 E, BLDG 200, NEWNAN, GA 30265-2315
(770) 755-1949
(770) 783-0294
Mailing address
1555 DOCTORS DR, SUITE 106, LAGRANGE, GA 30240-4132
(770) 755-1949
(770) 783-0294
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
GA
Other
Enumeration date
04/12/2007
Last updated
06/10/2008
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