NPI age
20 years
Enumerated 2005-08-19
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000701511E | |
| 05 (GA) | GRP433 | |
| 01 (GA) | GRP4355 | MEDICARE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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