| Organization Name: | GA FOOT AND ANKLE INSTITUTE |
| NPI Number: | 1104218544 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY VARNER (PRACTICE MANAGER) |
| Mailing Address: | 119 Canal St Suite 106 Pooler |
| State: | GA US |
| Postal Code: | 313224095 |
| Phone Number: | 9123556503 |
| Fax Number: | 9123559837 |
| NPI Enumeration Date: | 02/23/2015 |
| NPI Last Update Date: | 02/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 885 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |