NPI age
15 years
Enumerated 2011-02-01
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003131663C | |
| 01 (GA) | 202I487348 | MEDICARE PTAN |
| 05 (GA) | 003131663B | |
| 05 (GA) | 003131663A |
Part of a multi-provider practice. 816 other active providers share this practice address in NPPES.
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