Organization
CENTERVILLE FOOT CARE, P.C.
Active
Organization
CENTERVILLE FOOT CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KOVALCZYK D.P.M. (OWNER/PODIATRIST)
(770) 985-6879
Entity
Organization
Contact information
Practice address
148 MISSION OAK DR, GRAYSON, GA 30017-4153
(770) 985-6879
(770) 985-6894
Mailing address
PO BOX 846, SNELLVILLE, GA 30078-0846
(770) 985-6879
(770) 985-6894
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
05/02/2011
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