NPI age
20 years
Enumerated 2005-12-15
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00299637B | |
| 01 (GA) | 4201900002 | DME |
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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