Organization
COMPREHENSIVE FOOT & ANKLE
Active
Organization
COMPREHENSIVE FOOT & ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PALMER BRANCH DPM (OWNER)
(770) 921-8800
Entity
Organization
Contact information
Practice address
4705 LAWRENCEVILLE HWY NW, SUITE C, LILBURN, GA 30047-3667
(770) 921-8800
(770) 921-8801
Mailing address
4705 LAWRENCEVILLE HIGHWAY, SUITE C, LILBURN, GA 30047
(770) 921-8800
(770) 921-8801
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
POD000918
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000930069K
—
GA
Enumeration date
09/28/2007
Last updated
09/28/2007
Update your record
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