NPI age
19 years
Enumerated 2006-10-24
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 411385986B | |
| 05 (GA) | 411385986A | |
| 05 (GA) | 411385986D |
Single-site organization. Only one practice location on file.
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