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)
(770) 838-4151
Entity
Organization
Contact information
Practice address
104 DOCTORS DR, CARROLLTON, GA 30117-4460
(770) 838-4151
(770) 838-4887
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
01/29/2007
Last updated
06/10/2008
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