MODERN PODIATRY, LLC

MCDONOUGH, GA
NPI1811538390
Entity TypeOrganization
Authorized ContactKIBIBI WANZU
Owner
470-781-5585
Organization Subpart ?No
Primary Taxonomy261QP1100X Clinic/Center, Podiatric
Enumeration Date2019-10-04
Last Update Date2024-05-13
Business Address
MODERN PODIATRY, LLC
366 RACETRACK RD
MCDONOUGH, GA 30252-1022
Phone number: 470-781-5585
Mailing Address
MODERN PODIATRY, LLC
1270 HIGHWAY 314
FAYETTEVILLE, GA 30214-5449
Phone number: 813-300-4449
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