NPI age
20 years
Enumerated 2006-05-19
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00412068A | |
| 01 (GA) | 480020017 | RR MEDICARE |
| 05 (GA) | 00412068C |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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