NPI age
19 years
Enumerated 2006-09-13
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 411385986B | |
| 05 (GA) | 411385986A | |
| 05 (GA) | 411385986D |
Solo or small practice. No other active providers share this practice address in NPPES.
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