Organization
AUGUSTA FOOT & ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NATHAN BENNETT D.P.M (PARTNER)
(706) 312-3668
Entity
Organization
Contact information
Practice address
465 N BELAIR RD, SUITE 3B, EVANS, GA 30809-3188
(706) 312-3668
(706) 312-3670
Mailing address
465 N BELAIR RD, SUITE 3B, EVANS, GA 30809-3188
(706) 312-3668
(706) 312-3670
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
POD000842
GA
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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