| Organization Name: | INSTEP PODIATRY, LLC |
| NPI Number: | 1124408851 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANASTASIA THOMAS (PODIATRIST) |
| Mailing Address: | 4045 Five Forks Trickum Rd Sw Suite D-17, Pmb 248 Lilburn |
| State: | GA US |
| Postal Code: | 300472538 |
| Phone Number: | 6787185835 |
| Fax Number: | 7707900054 |
| NPI Enumeration Date: | 06/08/2015 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 15011319 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |