Allied Ankle & Footcare Centers PC

Organization Active NPI Foot & Ankle Surgery Podiatrist · Powder Springs, GA

NPI 1649445784 · NPPES record last updated Jun 16, 2008

Key facts

NPI
1649445784
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
POD000418 (GA)
Legal business name
ALLIED ANKLE & FOOTCARE CENTERS PC
Practice address
4045A Lindley Cir
Powder Springs, GA 30127-2711
Phone
(770) 943-2121
Fax
(770) 943-3919
NPI assigned
Apr 29, 2008
Organization subpart
No

Authorized official

Name
James Louis Bouchard, DPM
Title
Medical Director
Phone
(770) 255-0425

National Provider Directory

Locations

4045 Lindley Cir
Ste A
Powder Springs, GA 30127
Phone (770) 255-0434

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213ES0103X POD000418 GA Yes

Addresses

Primary practice location

4045A Lindley Cir
Powder Springs, GA 30127-2711

Mailing address

PO Box 491658
Lawrenceville, GA 30049-0028
Phone (770) 255-0424

Other identifiers

IdentifierTypeStateIssuer
GRP446OtherGAMEDICARE GROUP

Other providers in Powder Springs, GA

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

Sources for this page

Verify at the official NPI Registry.