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1104235613
DIVINE PODIATRY
DACULA, GA
NPI
1104235613
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Entity Type
Organization
Authorized Contact
ALIYA MATTHEWS
Podiatrist
609-922-1866
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: GA POD00148)
Enumeration Date
2014-08-08
Last Update Date
2020-04-18
Business Address
DIVINE PODIATRY
1204 BENTLEY ESTATES DR
DACULA, GA 30019-7786
Phone number: 609-922-1866
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Mailing Address
DIVINE PODIATRY
1204 BENTLEY ESTATES DR
DACULA, GA 30019-7786
Phone number: 609-922-1866
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