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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