Organization
ANTIOCH MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALPHONSO DANDY SR. OD (OWNER)
(912) 927-8011
Entity
Organization
Contact information
Practice address
9104 MIDDLEGROUND RD, STE 2, SAVANNAH, GA 31406-4302
(912) 927-8011
(912) 927-8311
Mailing address
9104 MIDDLEGROUND RD, STE 2, SAVANNAH, GA 31406-4302
(912) 927-8011
(912) 927-8311
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000860
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000817242C
—
GA
Enumeration date
01/10/2007
Last updated
05/18/2015
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