Organization
ANKLE AND FOOT CENTER OF GEORGIA,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAUL HOLLSTROM,JR DPM (OWNER)
(706) 845-9370
Entity
Organization
Contact information
Practice address
1555 DOCTORS DR, STE 106, LAGRANGE, GA 30240-4132
(706) 845-9370
(706) 845-9371
Mailing address
1555 DOCTORS DR, STE 106, LAGRANGE, GA 30240-4132
(706) 845-9370
(706) 845-9371
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
04/20/2008
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