Individual
MR. JOE TALTSON SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
49 GORDON RD, SUITE 104, JASPER, GA 30143
(770) 999-0804
(770) 999-0814
Mailing address
400 W ARBROOK BLVD, SUITE 201, ARLINGTON, TX 76014-3174
(817) 467-1990
(817) 466-8737
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1473
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F8971
BCBS
TX
Enumeration date
05/12/2006
Last updated
02/18/2025
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