Ambulatory Foot And Leg Surgical Center

LBN: Foot And Leg Clinic, Pa
Ambulatory Foot And Leg Surgical Center is an health care organization with primary practice located at 1650 Mulkey Rd , Austell GA 30106-1186. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Foot And Leg Clinic, Pa can be contacted via phone (770) 544-0444, or through Taylor, Jana S. via phone (770) 544-0444.

Contact Information

Primary practice address
1650 Mulkey Rd Austell GA 30106-1186
Phone: (770) 544-0444
Fax: (770) 874-8950
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Jana S.
Phone: (770) 544-0444

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1740306059
LBN Legal business name Foot And Leg Clinic, Pa
DBA Doing business as Ambulatory Foot And Leg Surgical Center
Authorized official Taylor, Jana S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Aug 13th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740306059 NPPES
Georgia MEDICAID 0042221A

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