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Organization

WIREGRASS PODIATRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER ROSE DECKER DPM (ADMINISTRATOR)
(334) 494-8200
Entity
Organization

Contact information

Practice address
1008 BOLL WEEVIL CIR STE B, ENTERPRISE, AL 36330-3400
(334) 494-8200
(334) 460-1984
Mailing address
1008 BOLL WEEVIL CIR STE B, ENTERPRISE, AL 36330-3400
(334) 494-8200
(334) 460-1984

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
12/27/2018
Last updated
09/28/2020
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