Organization
SOLES TO HEEL FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE MATRECE GREEN-WATSON DPM (OWNER)
(407) 844-4499
Entity
Organization
Contact information
Practice address
1899 LAKE RD STE 210, HIRAM, GA 30141-2293
(678) 742-8433
(770) 738-3007
Mailing address
310 COLLEGIATE DR, POWDER SPRINGS, GA 30127-4333
(407) 844-4499
(777) 738-3007
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
04/17/2021
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