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

Divine Podiatry Center LLC

Organization Podiatrist · NPI 1528530268

Divine Podiatry Center LLC is a Podiatrist in Dacula, Georgia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1204 Bentley Estates Dr
Dacula, GA 30019-7786
Phone: (609) 922-8166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1528530268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aliya Matthews — Owner · (609) 922-1866
NPI enumeratedDecember 19, 2018
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020
Mailing address1204 Bentley Estates Dr, Dacula, GA 30019-7786

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