Organization
METRO PODIATRISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE-MARY MBIBONG-MABO DPM (ORGANIZER)
(770) 284-1616
Entity
Organization
Contact information
Practice address
315 BOULEVARD NE STE 532, ATLANTA, GA 30312-1266
(770) 284-1616
Mailing address
PO BOX 451371, ATLANTA, GA 31145-9371
(770) 284-1616
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001234
GA
Other
Enumeration date
04/24/2015
Last updated
03/07/2024
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