NPI age
19 years
Enumerated 2007-01-22
Across 437 active podiatrist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | N327176 | |
| 05 (GA) | 10059160 | |
| 01 (GA) | 2700108 | BCBS |
| 05 (GA) | 000901018B |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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