Family Foot & Ankle Ctr

LBN: S.Dekalb Foot & Ankle Surgical Ctr
Family Foot & Ankle Ctr is an health care organization with primary practice located at 841 Mulberry St , Macon GA 31201-6756. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. S.Dekalb Foot & Ankle Surgical Ctr can be contacted via phone (478) 741-1192, or through Theodore, Roger Peter via phone (404) 241-7848.

Contact Information

Primary practice address
841 Mulberry St Macon GA 31201-6756
Phone: (478) 741-1192
Fax: (478) 741-0029
Website:
Map and Directions
Authorized official contact:
Name: Theodore, Roger Peter Doctor of Podiatric Medicine (DPM)
Phone: (404) 241-7848

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 000753 Georgia

Profile Details

NPI number 1265638381
LBN Legal business name S.Dekalb Foot & Ankle Surgical Ctr
DBA Doing business as Family Foot & Ankle Ctr
Authorized official Theodore, Roger Peter Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1265638381 NPPES
Georgia MEDICAID 00655322A

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