Provider Demographics
NPI:1902650229
Name:CARTERSVILLE FOOT AND ANKLE SPECIALISTS
Entity Type:Organization
Organization Name:CARTERSVILLE FOOT AND ANKLE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUSCHING
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:616-322-1104
Mailing Address - Street 1:175 PINE GROVE RD STE 115
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-8483
Mailing Address - Country:US
Mailing Address - Phone:770-383-1883
Mailing Address - Fax:
Practice Address - Street 1:175 PINE GROVE RD STE 115
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8483
Practice Address - Country:US
Practice Address - Phone:770-383-1883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty