Organization
SOUTHSIDE FOOTCARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG KEVIN SKALLA D.P.M. (PROVIDER)
(912) 925-3668
Entity
Organization
Contact information
Practice address
13015 ABERCORN ST STE D9, SAVANNAH, GA 31419-1975
(912) 925-3668
(912) 925-3688
Mailing address
13015 ABERCORN ST STE D9, SAVANNAH, GA 31419-1975
(912) 925-3668
(912) 925-3688
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265570691
INDIVIDUAL NPI
GA
Enumeration date
12/11/2008
Last updated
05/11/2009
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