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 1871323683

Modern Podiatry, LLC is a Podiatric Clinic/Center in Newnan, Georgia. Registered with an NPI since 2024.

In the registry since
2024
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

1825 Highway 34 E Ste 3410
Newnan, GA 30265-6433
Phone: (770) 251-8940
Fax: (770) 251-5685
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 number1871323683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kibibi Wanzu — Owner · (470) 781-5585
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address1825 Highway 34 E Ste 3410, Newnan, GA 30265-6433

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