NPI age
20 years
Enumerated 2006-03-29
Across 397 active podiatrist providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10038991 | AMERIGROUP |
| 05 (GA) | 000430504G | |
| 01 (GA) | 000430504G | PEACH STATE |
| 01 (GA) | 309352 | WELLCARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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