Organization
VILLAGE PODIATRY GROUP, LLC.
Active
Parent organization
EXTREMITY HEALTHCARE, INC.
Other names
Village Podiatry Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTREMITY HEALTHCARE, INC.
Authorized official
MITCHELL P. HILSEN DPM (C.O.O.)
(678) 426-2171
Entity
Organization
Contact information
Practice address
1224 SHERWOOD PARK DR NE, GAINESVILLE, GA 30501-3445
(770) 287-0606
(770) 287-0159
Mailing address
900 CIRCLE 75 PKWY., SUITE 900, ATLANTA, GA 30339-3084
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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