Advanced Foot & Wound Center of Camden Co PC
Organization Active NPI Podiatrist · Saint Marys, GA
NPI 1942270657 · NPPES record last updated Nov 19, 2009
Key facts
- NPI
- 1942270657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- License
- POD000932 (GA)
- Legal business name
- ADVANCED FOOT & WOUND CENTER OF CAMDEN CO PC
- Practice address
- 102 Lakeshore Dr Ste C
Saint Marys, GA 31558-3874 - Phone
- (912) 882-3338
- Fax
- (912) 882-0526
- NPI assigned
- Jan 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Diadra Michelle Wright, DPM
- Title
- Podiatrist
- Phone
- (912) 882-3338
National Provider Directory
Locations
1375 E King Ave
Ste C1
Kingsland, GA 31548
Phone (912) 882-2910
102 Lakeshore Dr
Ste C
Saint Marys, GA 31558
Phone (912) 729-7229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | POD000932 | GA | Yes |
| Podiatrist |
213E00000X | P02758 | FL |
Addresses
Primary practice location
102 Lakeshore Dr Ste C
Saint Marys, GA 31558-3874
Mailing address
PO Box 600
Kingsland, GA 31548-0600
Phone (912) 882-3338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101735 | Other | AETNA |
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.