| Organization Name: | WEST GEORGIA PODIATRY ASSOC. |
| NPI Number: | 1013061357 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDY M HARRIS (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 125 History Dr Carrollton |
| State: | GA US |
| Postal Code: | 301173969 |
| Phone Number: | 7708323546 |
| Fax Number: | 7708323518 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 01/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000434 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |