Divine Podiatry Center LLC

NPI #1528530268 in Dacula, Georgia

Provider Information

NPI Number: 1528530268
Entity Type: Organization
Organization Name: Divine Podiatry Center LLC
Primary Specialty: Podiatrist
Enumeration Date: Dec 19, 2018
Last Updated: Apr 18, 2020

Practice Location

Address: 1204 BENTLEY ESTATES DR
City: Dacula
State: Georgia
ZIP Code: 30019-7786
Phone: (609) 922-8166

Authorized Official

Name: DR. ALIYA MATTHEWS, DPM
Title: OWNER
Phone: (609) 922-1866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Divine Podiatry	Podiatrist	Dacula	AI Deep Dive
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