ACTIVE ANKLE & FOOT CARE SPECIALIST

JOHNS CREEK, GA
NPI1831575034
Entity TypeOrganization
Authorized ContactINGIE M EL-KHASHAB
Owner/Physician
404-373-7004
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2015-08-11
Last Update Date2015-08-11
Business Address
ACTIVE ANKLE & FOOT CARE SPECIALIST
6335 HOSPITAL PARKWAY SUITE 305
JOHNS CREEK, GA 30097-5712
Phone number: 404-373-7004
Mailing Address
ACTIVE ANKLE & FOOT CARE SPECIALIST
PO BOX 71
AVONDALE ESTATES, GA 30002-0071
Phone number: 404-373-7004
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