NPI age
19 years
Enumerated 2006-08-31
Across 397 active podiatrist providers in Georgia.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000701511E | |
| 01 (GA) | POD001025 | LICENSE # |
| 05 (GA) | 733822071A | |
| 01 (GA) | POD000713 | LICENSE # |
| 05 (GA) | 000971517A |
Multi-provider organization. 11 individual providers on file at this primary address.
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