Ankle and Foot Center of Georgia,LLC

Organization Active NPI Foot & Ankle Surgery Podiatrist · Newnan, GA

NPI 1508080417 · NPPES record last updated Jun 10, 2008

Key facts

NPI
1508080417
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
Legal business name
ANKLE AND FOOT CENTER OF GEORGIA,LLC
Practice address
2700 Highway 34 E
BLDG 200
Newnan, GA 30265-2315
Phone
(770) 755-1949
Fax
(770) 783-0294
NPI assigned
Apr 12, 2007
Organization subpart
No

Authorized official

Name
Dr. Richard P Hollstrom Jr., DPM
Title
Owner
Phone
(770) 755-1949

National Provider Directory

Locations

2700 Highway 34 E
Ste 200
Newnan, GA 30265
Phone (770) 251-6118

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0103X GA Yes

Addresses

Primary practice location

2700 Highway 34 E
BLDG 200
Newnan, GA 30265-2315

Mailing address

1555 Doctors Dr
Suite 106
Lagrange, GA 30240-4132
Phone (770) 755-1949

Other providers in Newnan, GA

All providers in Newnan, GA · Foot & Ankle Surgery Podiatrist in Georgia

Sources for this page

Verify at the official NPI Registry.