Organization
ALLIED ANKLE & FOOT CARE CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LOUIS BOUCHARD DPM (PRESIDENT)
(770) 255-0434
Entity
Organization
Contact information
Practice address
15 HURRICANE SHOALS RD NE, LAWRENCEVILLE, GA 30046-4454
(770) 255-0434
(770) 277-1755
Mailing address
PO BOX 491658, LAWRENCEVILLE, GA 30049-0028
(770) 255-0434
(770) 255-0425
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD000418
GA
Other
Enumeration date
02/26/2007
Last updated
02/25/2014
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