Provider Demographics
NPI:1093332660
Name:FOOT SOLUTIONS, INC.
Entity Type:Organization
Organization Name:FOOT SOLUTIONS, INC.
Other - Org Name:FOOT SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PROTHRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-955-0099
Mailing Address - Street 1:3000 OLD ALABAMA RD STE 121
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5822
Mailing Address - Country:US
Mailing Address - Phone:770-955-0099
Mailing Address - Fax:706-553-4505
Practice Address - Street 1:3000 OLD ALABAMA RD STE 121
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5822
Practice Address - Country:US
Practice Address - Phone:770-955-0099
Practice Address - Fax:706-553-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies