Organization Name: | ATHENS FAMILY FOOT CARE |
NPI Number: | 1083812200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA PRINCE HERRON (OFFICE DIRECTOR) |
Mailing Address: | 1060 Gaines School Rd Ste B -3 Athens |
State: | GA US |
Postal Code: | 306053198 |
Phone Number: | 7065493668 |
Fax Number: | 7066135069 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | POD000733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |