Soles to Heel Foot and Ankle, LLC

NPI #1508441395 in Hiram, Georgia

Provider Information

NPI Number: 1508441395
Entity Type: Organization
Organization Name: Soles to Heel Foot and Ankle, LLC
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Enumeration Date: Mar 12, 2021
Last Updated: Apr 17, 2021

Practice Location

Address: 1899 LAKE RD STE 210
City: Hiram
State: Georgia
ZIP Code: 30141-2293
Phone: (678) 742-8433

Authorized Official

Name: DR. DANIELLE MATRECE GREEN-WATSON, DPM
Title: OWNER
Phone: (407) 844-4499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary

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