Georgia Reconstructive Foot and Ankle Center LLC

NPI #1114381027 in Winder, Georgia

Provider Information

NPI Number
1114381027
Entity Type
Organization
Organization Name
Georgia Reconstructive Foot and Ankle Center LLC
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Apr 6, 2016
Last Updated
Dec 12, 2016

Practice Location

Address
293 N BROAD ST
City
Winder
State
Georgia
ZIP Code
30680-2155
Phone
(770) 867-4110

Authorized Official

Name
RANDALL ALAN HANSON, DPM
Title
OWNER
Phone
(678) 770-5838

Specialties & Taxonomy Codes

Specialty
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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