Organization
SOUTH GEORGIA FAMILY FOOT INSTITUE PC
Active
Organization
SOUTH GEORGIA FAMILY FOOT INSTITUE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN DEKLE MA (OFFICE MANAGER)
(229) 227-1997
Entity
Organization
Contact information
Practice address
510 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 227-1997
(229) 227-9389
Mailing address
510 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 227-1997
(229) 227-9389
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000695
GA
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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