NPI age
19 years
Enumerated 2006-09-27
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 895 | STATE I.D |
| 01 (GA) | 699165 | BCBS OF GA |
| 01 (AL) | 60023560 | BCBS OF ALA |
| 05 (GA) | 00954269A | |
| 01 (GA) | 304882 | WELLCARE |
| 01 (GA) | 0436482793002 | EMPLOYER ID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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