Organization
ACTIVE ANKLE & FOOT CARE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGIE M EL-KHASHAB DPM (OWNER/PHYSICIAN)
(404) 373-7004
Entity
Organization
Contact information
Practice address
6335 HOSPITAL PARKWAY, SUITE 305, JOHNS CREEK, GA 30097-5712
(404) 373-7004
(404) 373-7008
Mailing address
PO BOX 71, AVONDALE ESTATES, GA 30002-0071
(404) 373-7004
(404) 373-7008
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
GA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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