Augusta Foot & Ankle, Pc

LBN: Augusta Foot & Ankle, Pc
Augusta Foot & Ankle, Pc is an health care organization with primary practice located at 1416 Wainbrook Dr , Augusta GA 30909-6289. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Augusta Foot & Ankle, Pc can be contacted via phone (706) 262-3668, or through Bennett, Brian Nathan via phone (706) 312-3668.

Contact Information

Primary practice address
1416 Wainbrook Dr Augusta GA 30909-6289
Phone: (706) 262-3668
Fax: (706) 262-3670
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Brian Nathan Doctor of Podiatric Medicine (DPM)
Phone: (706) 312-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Customized Equipment 332BC3200X POD000842 Georgia

Profile Details

NPI number 1366513988
LBN Legal business name Augusta Foot & Ankle, Pc
DBA Doing business as
Authorized official Bennett, Brian Nathan Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 3rd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366513988 NPPES
Georgia MEDICAID 000812985B

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