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Organization

GEORGE S TELLAM DPM

Active
Other names
Ankle & Foot Associates
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLEY SAWDAY THOMAS DPM (OWNER/PODIATRIST)
(904) 269-9595
Entity
Organization

Contact information

Practice address
2710 3RD ST S, JACKSONVILLE BEACH, FL 32250-6028
(904) 269-9595
(904) 264-5211
Mailing address
981 KINGSLEY AVE, ORANGE PARK, FL 32073-4742
(904) 269-9595
(904) 264-5211

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1636
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750319026
INDIVIDUAL NPI
FL
Enumeration date
10/14/2015
Last updated
07/29/2020
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