Organization
FORSYTH FOOT & ANKLE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. MCGLAMRY DPM (OWNER)
(678) 262-4040
Entity
Organization
Contact information
Practice address
102 MARY ALICE PARK DRIVE, SUITE 502, CUMMING, GA 30040-2697
(678) 262-4040
(678) 262-4060
Mailing address
102 MARY ALICE PARK DRIVE, SUITE 502, CUMMING, GA 30040-2697
(678) 262-4040
(678) 262-4060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
—
GA
213ES0131X
Foot Surgery Podiatrist
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125664A
—
GA
Enumeration date
05/11/2012
Last updated
08/14/2012
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