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Organization

SOUTHERN FOOT & ANKLE CENTER PC

Active
Parent organization
SOUTHERN FOOT & ANKLE CENTER PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHERN FOOT & ANKLE CENTER PC
Authorized official
IDO FRIEDMAN DPM (OWNER)
(912) 355-3555
Entity
Organization

Contact information

Practice address
14 OKATIE CENTER BLVD S BLDG 14, SUITE 101, BLUFFTON, SC 29909-7506
(912) 355-3555
(912) 355-4499
Mailing address
836 E 65TH ST, SUITE 9, SAVANNAH, GA 31405-4434
(912) 355-3555
(912) 355-4499

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GDP847
SC
Enumeration date
12/12/2007
Last updated
07/03/2013
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