| Organization Name: | ANKLE & FOOT SPECIALIST |
| NPI Number: | 1073797908 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | E. RICHARD GROVES (PRESIDENT) |
| Mailing Address: | 800 Gordon Ave Thomasville |
| State: | GA US |
| Postal Code: | 317926611 |
| Phone Number: | 2292261338 |
| Fax Number: | 2292264888 |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 01/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO 551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |