Organization
PODIATRY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADISON TUCKER BRAWNER SR. D.P.M. (PRESIDENT)
(912) 354-9990
Entity
Organization
Contact information
Practice address
817 E 66TH ST, SAVANNAH, GA 31405-4507
(912) 354-9990
(912) 352-2304
Mailing address
817 E 66TH ST, SAVANNAH, GA 31405-4507
(912) 354-9990
(912) 352-2304
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000178912A
—
GA
Enumeration date
12/31/2006
Last updated
06/18/2008
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