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1740750041
THE FOOT AND ANKLE TREATMENT CENTER LLC
WATKINSVILLE, GA
NPI
1740750041
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Entity Type
Organization
Authorized Contact
DONOVAN AUDLEY GOWDIE
Provider
706-310-4288
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
THE FOOT AND ANKLE TREATMENT CENTER LLC
2410 HOG MOUNTAIN RD STE 107
WATKINSVILLE, GA 30677-4850
Phone number: 706-310-4288
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Mailing Address
THE FOOT AND ANKLE TREATMENT CENTER LLC
2410 HOG MOUNTAIN RD STE 107
WATKINSVILLE, GA 30677-4850
Phone number: 706-310-4288
Copy
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