Southern Podiatry Foot and Ankle LLC
Southern Podiatry Foot and Ankle LLC provides Podiatrist services in Homer, Georgia. Licensed in Tennessee. Registered with an NPI since 2008.
- Licensed in
- TN
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
212 Lake Pehama TrlHomer, GA 30547 Not confirmed with CMS for 17 years — call before visiting
Phone: (312) 752-7713
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 5981134 (TN) |
|---|
Record details
| NPI number | 1619112968 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rick Thornton — Owner · (312) 752-7713 |
| NPI enumerated | December 15, 2008 |
| Last updated in NPPES | December 15, 2008 |
| Mailing address | 212 Lake Pehama Trail, Homer, GA 30547 |