Organization
ATLANTA PREMIER FOOT AND ANKLE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NRUP TOLAT DPM (PODIATRIST)
(404) 245-4969
Entity
Organization
Contact information
Practice address
100 STONEFOREST DR STE 120, WOODSTOCK, GA 30189-4881
(404) 245-4969
Mailing address
2170 SUGAR MAPLE CV NW, ACWORTH, GA 30101-8815
(140) 424-5496
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
09/23/2020
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