NPI age
20 years
Enumerated 2006-03-30
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 86J274 | BLUE SHIELD |
| 01 (TX) | 480030644 | RR/MEDICARE |
| 01 (TX) | 1215584-01 | CSHCN |
| 05 (TX) | 1215584-02 |
Part of a multi-provider practice. 1009 other active providers share this practice address in NPPES.
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