Organization
DWAYNE A LAY LLC
Active
Other names
Elite Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE A LAY DPM (MEDICAL DIRECTOR)
(770) 765-5828
Entity
Organization
Contact information
Practice address
10515 BELLS FERRY RD STE 200, CANTON, GA 30114-4242
(770) 765-5828
(678) 388-0977
Mailing address
10515 BELLS FERRY RD STE 200, CANTON, GA 30114-4242
(770) 765-5828
(678) 388-0977
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001230
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598269714
AETNA
GA
Enumeration date
03/21/2018
Last updated
09/07/2022
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