Organization
ATLANTA SPORTS PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY E SPECTOR DPM (OWNER)
(770) 614-0003
Entity
Organization
Contact information
Practice address
9700 MEDLOCK BRIDGE RD STE 126, JOHNS CREEK, GA 30097-4408
(770) 614-0003
Mailing address
9700 MEDLOCK BRIDGE RD STE 126, DULUTH, GA 30097-4408
(770) 614-0003
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
11/15/2019
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