| Organization Name: | CHOICE PODIATRY CENTER, INC. |
| NPI Number: | 1053583666 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIVIAN C IWU (PRESIDENT/CEO) |
| Mailing Address: | 2450 Atlanta Hwy 402 Cumming |
| State: | GA US |
| Postal Code: | 300408099 |
| Phone Number: | 6789470973 |
| Fax Number: | 6789472836 |
| NPI Enumeration Date: | 03/24/2008 |
| NPI Last Update Date: | 04/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | POD001071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |