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1871323683
MODERN PODIATRY, LLC
NEWNAN, GA
NPI
1871323683
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Entity Type
Organization
Authorized Contact
KIBIBI WANZU
Owner
470-781-5585
Organization Subpart ?
No
Primary Taxonomy
261QP1100X Clinic/Center, Podiatric
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
MODERN PODIATRY, LLC
1825 HIGHWAY 34 E STE 3410
NEWNAN, GA 30265-6433
Phone number: 770-251-8940
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Mailing Address
MODERN PODIATRY, LLC
1825 HIGHWAY 34 E STE 3410
NEWNAN, GA 30265-6433
Phone number: 770-251-8940
Copy
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