Provider Demographics
NPI:1184836629
Name:FOOT SOLUTIONS, INC.
Entity Type:Organization
Organization Name:FOOT SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARGIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-955-0099
Mailing Address - Street 1:4101 ROSWELL RD STE 800
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6292
Mailing Address - Country:US
Mailing Address - Phone:770-955-0099
Mailing Address - Fax:770-953-6270
Practice Address - Street 1:2359 WINDY HILL RD
Practice Address - Street 2:STE 400
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8684
Practice Address - Country:US
Practice Address - Phone:770-955-0099
Practice Address - Fax:770-953-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20013439280335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4867610002Medicare NSC