Organization
INTERNATIONAL CENTER FOR FOOT & ANKLE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALVAREZ DPM (VICE- PRESIDENT)
(770) 487-6716
Entity
Organization
Contact information
Practice address
7130 MOUNT ZION BLVD, SUITE 14, JONESBORO, GA 30236-2566
(770) 716-2685
(770) 716-1384
Mailing address
1975 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4747
(770) 487-6716
(770) 487-1232
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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