Organization
INSTITUTE FOR CORRECTIVE SURGERY OF THE FOOT & ANKLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P MURPHY D.P.M. (MEDICAL DIRECTOR)
(912) 283-6471
Entity
Organization
Contact information
Practice address
2003 ALICE ST, WAYCROSS, GA 31501-6209
(912) 283-7596
(912) 283-1618
Mailing address
501 W ONEIDA ST, WAYCROSS, GA 31501-5337
(912) 283-7596
(912) 283-1618
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
148-201
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000894605A
—
GA
01
—
148-201
GA STATE PERMIT
GA
01
—
490004800
RAILROAD MEDICARE
GA
Enumeration date
06/18/2006
Last updated
08/20/2009
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