Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Podiatry

Organization Podiatrist · NPI 1104235613

Divine Podiatry is a Podiatrist in Dacula, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014

Practice location Address checks out

1204 Bentley Estates Dr
Dacula, GA 30019-7786
Phone: (609) 922-1866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence POD00148 (GA)

Record details

NPI number1104235613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aliya Matthews — Podiatrist · (609) 922-1866
NPI enumeratedAugust 8, 2014
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020
Mailing address1204 Bentley Estates Dr, Dacula, GA 30019-7786

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