Wiregrass Podiatry LLC

NPI #1952873283 in Enterprise, Alabama

Provider Information

NPI Number: 1952873283
Entity Type: Organization
Organization Name: Wiregrass Podiatry LLC
Primary Specialty: Podiatrist
Enumeration Date: Dec 27, 2018
Last Updated: Sep 28, 2020

Practice Location

Address: 1008 BOLL WEEVIL CIR STE B
City: Enterprise
State: Alabama
ZIP Code: 36330-3400
Phone: (334) 494-8200

Authorized Official

Name: JENNIFER ROSE DECKER, DPM
Title: ADMINISTRATOR
Phone: (334) 494-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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