NPI age
20 years
Enumerated 2005-12-13
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 48SCBCS | MEDICARE ID TYPE PODIATRY |
| 05 (GA) | 000415346A | |
| 01 (GA) | 480007952 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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