Loganville Foot and Ankle Medicine LLC
NPI #1588821318 in Loganville, Georgia
Provider Information
- NPI Number
- 1588821318
- Entity Type
- Organization
- Organization Name
- Loganville Foot and Ankle Medicine LLC
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- May 20, 2008
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 135 LEE BYRD RD
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2310
- Phone
- (678) 639-4209
Authorized Official
- Name
- DR. JAYSON B PHELPS, DPM
- Title
- PHYSICIAN/OWNER
- Phone
- (678) 639-4209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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