Organization
ADVANCED FOOT & WOUND CENTER OF CAMDEN CO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIADRA MICHELLE WRIGHT DPM (PODIATRIST)
(912) 882-3338
Entity
Organization
Contact information
Practice address
102 LAKESHORE DR STE C, SAINT MARYS, GA 31558-3874
(912) 882-3338
(912) 882-0526
Mailing address
PO BOX 600, KINGSLAND, GA 31548-0600
(912) 882-3338
(912) 882-0526
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P02758
FL
213E00000X
Podiatrist
Primary
POD000932
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101735
AETNA
—
Enumeration date
01/25/2006
Last updated
11/19/2009
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