| Organization Name: | FOOT AND ANKLE CENTER OF MIDDLE GEORGIA, LLC |
| NPI Number: | 1083883151 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARVEPALLI D JOKHAI (OWNER) |
| Mailing Address: | 1040 Morningside Dr Perry |
| State: | GA US |
| Postal Code: | 310692904 |
| Phone Number: | 4789884676 |
| Fax Number: | 4789877907 |
| NPI Enumeration Date: | 02/22/2008 |
| NPI Last Update Date: | 06/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 000829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |