Organization
FEET FIRST PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSUELA M WILLIAMS-HOLLIDAY DPM (PHYSICIAN)
(478) 741-4332
Entity
Organization
Contact information
Practice address
440 CHARTER BLVD STE 2202, MACON, GA 31210-0705
(478) 741-4332
(478) 741-4343
Mailing address
PO BOX 4124, MACON, GA 31208-4124
(478) 741-4332
(478) 741-4343
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000981
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436532810B
—
GA
Enumeration date
09/09/2015
Last updated
08/17/2020
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