NPI age
20 years
Enumerated 2005-11-16
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1254360001 | DMERC |
| 01 | 1477535474 | BLUE CROSS |
| 05 (GA) | 00725018A |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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