Organization
THE FOOT AND ANKLE GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KILE WOODROW KINNEY DPM (CORPORATION PRESIDENT)
(706) 724-0586
Entity
Organization
Contact information
Practice address
1515 LANEY WALKER BLVD, AUGUSTA, GA 30904-5827
(706) 724-0586
(706) 724-4468
Mailing address
1515 LANEY WALKER BLVD, AUGUSTA, GA 30904-5827
(706) 724-0586
(706) 724-4468
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
GRP2839
GA
213ER0200X
Radiology Podiatrist
GRP2839
GA
213ES0000X
Sports Medicine Podiatrist
GRP2839
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
GRP2839
GA
332B00000X
Durable Medical Equipment & Medical Supplies
1196250004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032875A
—
GA
Enumeration date
01/16/2007
Last updated
05/07/2013
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