Organization Name: | GEORGIA FOOT CARE, INC. |
NPI Number: | 1295773802 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DELORES ANN COMBSBARNES (CEO/PODIATRIST) |
Mailing Address: | 4704 Chateau Forest Way Hoschton |
State: | GA US |
Postal Code: | 305486232 |
Phone Number: | 7703071094 |
Fax Number: | 7703071443 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 000730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |