1811538390 MODERN PODIATRY, LLC

Podiatric Clinic/Center

Active

Basic Information

Organization Name
MODERN PODIATRY, LLC
Enumeration Date
October 4, 2019
Last Update
May 13, 2024
Authorized Official
DR. KIBIBI WANZU DPM
OWNER
Phone: (470) 781-5585

Practice Location

Address
366 RACETRACK RD
MCDONOUGH, GA 302521022
Phone
(470) 781-5585

Mailing Address

Address
1270 HIGHWAY 314
FAYETTEVILLE, GA 302145449
Phone
(813) 300-4449

Specialties & Taxonomies

Specialty Code Classification License State Primary
Podiatric Clinic/Center
Podiatric
 261QP1100X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
003233587A 05 GA N/A

Digital Endpoints

CONNECT

www.modpodga.com

website

Frequently Asked Questions

What is MODERN PODIATRY, LLC's NPI number?
MODERN PODIATRY, LLC's NPI number is 1811538390.
Which doctor has NPI number 1811538390?
The doctor with NPI number 1811538390 is MODERN PODIATRY, LLC.
What is MODERN PODIATRY, LLC's practice address?
MODERN PODIATRY, LLC's practice address is 366 RACETRACK RD, MCDONOUGH, GA, 302521022.
Which doctor practices at 366 RACETRACK RD, MCDONOUGH, GA, 302521022?
MODERN PODIATRY, LLC practices at 366 RACETRACK RD, MCDONOUGH, GA, 302521022.
What is MODERN PODIATRY, LLC's mailing address?
MODERN PODIATRY, LLC's mailing address is 1270 HIGHWAY 314, FAYETTEVILLE, GA, 302145449.
What is MODERN PODIATRY, LLC's phone number?
MODERN PODIATRY, LLC's phone number is (470) 781-5585.
Who is (470) 781-5585?
(470) 781-5585 is the phone number for MODERN PODIATRY, LLC.
What is MODERN PODIATRY, LLC's specialty?
MODERN PODIATRY, LLC's specialty is Podiatric Clinic/Center.
What type of doctor is MODERN PODIATRY, LLC?
MODERN PODIATRY, LLC is a Podiatric Clinic/Center.
Is MODERN PODIATRY, LLC a Podiatric?
Yes, MODERN PODIATRY, LLC is a Podiatric.
Is MODERN PODIATRY, LLC still practicing?
Yes, MODERN PODIATRY, LLC is currently practicing.
Is MODERN PODIATRY, LLC accepting new patients?
MODERN PODIATRY, LLC may be accepting new patients. Please call their office at (470) 781-5585 to inquire about availability.
Is NPI 1811538390 still active?
Yes, NPI 1811538390 is currently active.
Where does MODERN PODIATRY, LLC practice?
MODERN PODIATRY, LLC practices in MCDONOUGH, GA.