Village Podiatry Group, Llc.

NPI #1467985382 in Fort Oglethorpe, Georgia

Provider Information

NPI Number: 1467985382
Entity Type: Organization
Organization Name: Village Podiatry Group, Llc.
Subpart: Yes (part of a larger organization)
Parent Organization: EXTREMITY HEALTHCARE, INC.
Primary Specialty: Podiatrist
Enumeration Date: Apr 7, 2017
Last Updated: Apr 7, 2017

Practice Location

Address: 2368 BATTLEFIELD PKWY
City: Fort Oglethorpe
State: Georgia
ZIP Code: 30742-4030
Phone: (706) 861-6200

Authorized Official

Name: MITCHELL P. HILSEN, D.P.M.
Title: C.O.O.
Phone: (678) 426-2171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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