Organization
FOOT AND ANKLE RECONSTRUCTION OF NORTH GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET J HINTZE DPM (AUTHORIZED OFFICIAL)
(770) 999-0804
Entity
Organization
Contact information
Practice address
49 GORDON ROAD, SUITE 104, JASPER, GA 30143-1017
(770) 999-0804
(770) 999-0814
Mailing address
49 GORDON ROAD, SUITE 104, JASPER, GA 30143-1017
(770) 999-0804
(770) 999-0814
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
11/18/2015
Last updated
02/22/2019
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