NPI age
19 years
Enumerated 2007-04-03
Across 397 active podiatrist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 924062921A | |
| 01 (GA) | P00460780 | RAILROAD MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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