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Organization

PODIATRY MEDICAL SURGICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS JOHN LEGACKI III (D.P.M.)
(912) 301-2880
Entity
Organization

Contact information

Practice address
50 BERWICK BLVD STE 220, SAVANNAH, GA 31419-8483
(912) 301-2880
(888) 830-1576
Mailing address
203 MARSHVIEW DR, RICHMOND HILL, GA 31324-6205
(912) 301-2880
(888) 830-1576

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003186112C
GA
Enumeration date
04/28/2022
Last updated
04/13/2026
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