NPI age
20 years
Enumerated 2006-04-12
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003159203C | |
| 05 (OH) | 0673703 | |
| 01 (OH) | 0695530001 | MEDICARE NFC |
| 01 (OH) | 1780648345 | NPI |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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