NPI age
19 years
Enumerated 2006-06-12
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003126321A | |
| 01 (TN) | 4129948 | BLUE CROSS OF TENNESSEE |
| 05 (TN) | 1506787 | |
| 01 (TN) | DC1001 | RAILROAD MEDICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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