Organization
SOUTHERN FOOT & ANKLE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY HODGES (BILLING REPRESENTATIVE)
(912) 562-7092
Entity
Organization
Contact information
Practice address
836 E 65TH ST, # 9, SAVANNAH, GA 31405-4434
(912) 355-3555
(912) 355-4499
Mailing address
836 E 65TH ST, #9, SAVANNAH, GA 31405-4434
(912) 355-3555
(912) 355-4499
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00812644I
—
GA
01
—
480033251
RAILROAD MEDICARE
GA
Enumeration date
05/10/2007
Last updated
03/06/2013
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