Provider Demographics
NPI:1881148880
Name:CENTER FOR FOOT & ANKLE CARE INC
Entity type:Organization
Organization Name:CENTER FOR FOOT & ANKLE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICING OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:770-434-7078
Mailing Address - Street 1:165 VANN ST NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7249
Mailing Address - Country:US
Mailing Address - Phone:770-434-7078
Mailing Address - Fax:770-984-0303
Practice Address - Street 1:165 VANN ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7249
Practice Address - Country:US
Practice Address - Phone:770-434-7078
Practice Address - Fax:770-984-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD0000400213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty