Organization
PARKWOOD PODIATRY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DAWN COOPER (OFFICE MANAGER)
(912) 265-4766
Entity
Organization
Contact information
Practice address
2500 STARLING ST, STE 301, BRUNSWICK, GA 31520-4268
(912) 265-4766
(912) 267-9857
Mailing address
2500 STARLING ST, STE 301, BRUNSWICK, GA 31520-4268
(912) 265-4766
(912) 267-9857
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/04/2007
Last updated
10/31/2014
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