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

Modern Podiatry, LLC

Organization Podiatric Clinic/Center · NPI 1811538390

Modern Podiatry, LLC is a Podiatric Clinic/Center in McDonough, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

366 Racetrack Rd
McDonough, GA 30252-1022
Phone: (470) 781-5585
Show map & directions

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

Specialties & licences

Podiatric Clinic/Center (primary) Taxonomy 261QP1100X

Record details

NPI number1811538390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kibibi Wanzu — Owner · (470) 781-5585
NPI enumeratedOctober 4, 2019
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address1270 Highway 314, Fayetteville, GA 30214-5449