NPI age
18 years
Enumerated 2008-05-21
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (CT) | 008073203 | |
| 01 (CA) | CA126338 | MEDICARE PTAN NO CAL |
| 01 (CA) | CB217729 | MEDICARE PTAN SO CAL |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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