NPI age
19 years
Enumerated 2006-07-03
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000785133A | |
| 01 | 571257 | BLUE SHIELD |
| 01 | P00099862 | RAILROAD MEDICARE |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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