DIVINE PODIATRY

DACULA, GA
NPI1104235613
Entity TypeOrganization
Authorized ContactALIYA MATTHEWS
Podiatrist
609-922-1866
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: GA  POD00148)
Enumeration Date2014-08-08
Last Update Date2020-04-18
Business Address
DIVINE PODIATRY
1204 BENTLEY ESTATES DR
DACULA, GA 30019-7786
Phone number: 609-922-1866
Mailing Address
DIVINE PODIATRY
1204 BENTLEY ESTATES DR
DACULA, GA 30019-7786
Phone number: 609-922-1866