NPI age
20 years
Enumerated 2005-08-26
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | P00389076 | RAILROAD MEDICARE |
| 01 | 52223803 | BLUE SHIELD |
| 05 (GA) | 244934736A |
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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