Ankle and Foot Center of Georgia, LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ANKLE AND FOOT CENTER OF GEORGIA, LLC

Practice address

104 Doctors Dr
Carrollton, GA 30117-4460

Phone

(770) 838-4151

Fax

(770) 838-4887

NPI assigned

Jan 29, 2007

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Paul Hollstrom,Jr, DPMNPI 1710939145

Title

Owner

Phone

(770) 838-4151

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Paul Hollstrom,Jr, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lagrange, GA
  • NPI 1710939145
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1760538995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404132",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DOCTORS DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174460",
            "telephone_number": "770-838-4151",
            "fax_number": "770-838-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKLE AND FOOT CENTER OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "HOLLSTROM,JR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-838-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla J. Anderson
• Shaunta Andrews, DPT
• Tricia G Andrews, M.A.,CCC-SLP
• Angelic Wings Transport , Inc.
• Angie Pace, LLC
• Apogee Medical Group Georgia Inc
• Ar Therapy Services LLC
• Christopher B Arant, M.D.
• Mary Elizabeth Archer, LMSW
• John Anthony Arledge, M.D.

• Podiatrist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.