NPI age
12 years
Enumerated 2014-01-15
Across 397 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003154632A | |
| 01 (GA) | 202I480208 | MEDICARE PTAN |
| 05 (GA) | 003154632C | |
| 05 (GA) | 003154632D |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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