Organization
GEORGIA BLUE FOOT AND ANKLE,LLC
Active
Other names
Watson and Cowans Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE MATRECE GREEN- WATSON DPM (OWNER/ PARTNER)
(407) 844-4499
Entity
Organization
Contact information
Practice address
6554 SPRING ST, DOUGLASVILLE, GA 30134-1897
(800) 891-4930
(770) 741-0775
Mailing address
310 COLLEGIATE DR, POWDER SPRINGS, GA 30127-4333
(407) 844-4499
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001319
GA
Other
Enumeration date
06/28/2017
Last updated
08/04/2025
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