Provider Demographics
NPI:1629386495
Name:ALL WAYS FEET OF GEORGIA PC
Entity Type:Organization
Organization Name:ALL WAYS FEET OF GEORGIA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:II
Authorized Official - Credentials:DPM
Authorized Official - Phone:912-876-8637
Mailing Address - Street 1:127 MACARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-4410
Mailing Address - Country:US
Mailing Address - Phone:912-876-8637
Mailing Address - Fax:912-876-4069
Practice Address - Street 1:127 MACARTHUR DR
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4410
Practice Address - Country:US
Practice Address - Phone:912-876-8637
Practice Address - Fax:912-876-4069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA649261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA636246997DMedicaid
GA636246997DMedicaid