NPI age
19 years
Enumerated 2006-09-21
Across 397 active podiatrist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10058163 | AMERIGROUP |
| 01 (GA) | 6486480001 | DMERC |
| 05 (GA) | 636246997D | |
| 01 (GA) | 341274 | WELLCARE |
| 01 (GA) | P00144440 | RAILROAD MEDICARE |
| 01 (GA) | 845505 | BLUE CROSS BLUE SHIELD |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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