Organization
FOOT & LEG CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA A BALLINGER (ADMINISTRATOR)
(478) 929-0036
Entity
Organization
Contact information
Practice address
3556 RIVERSIDE DR, MACON, GA 31210-2509
(478) 475-9250
Mailing address
3556 RIVERSIDE DR, MACON, GA 31210-2509
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/15/2007
Last updated
09/15/2007
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