Organization
INNOVATIVE FOOTCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE MEEKS (BILLING MANAGER)
(470) 503-9934
Entity
Organization
Contact information
Practice address
1105 E MAIN ST, ROYSTON, GA 30662-3803
(762) 338-5152
(762) 338-5152
Mailing address
1105 E MAIN ST, ROYSTON, GA 30662-3803
(762) 338-5152
(762) 338-5152
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649474032
NPI
—
Enumeration date
09/28/2018
Last updated
09/28/2018
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