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ELDRIDGE PODIATRY AND DIABETES CENTER LLC NPI 1508384892


NPI Information

NPI: 1508384892
Provider Name: ELDRIDGE PODIATRY AND DIABETES CENTER, LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
910 DANNON VW SW STE 2201
ATLANTA, GA
ZIP 30331
Phone: (404) 736-7198
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ELDRIDGE PODIATRY AND DIABETES CENTER, LLC is a podiatric clinic center in Atlanta, GA. ELDRIDGE PODIATRY AND DIABETES CENTER, LLC NPI is 1508384892. The provider is registered as an organization entity type.

The provider's business location address is:

910 DANNON VW SW STE 2201
ATLANTA, GA
ZIP 30331-156
Phone: (404) 736-7198

The provider's authorized official is Cheree Shantell Eldridge .
The authorized official title is Owner and has the following contact phone number (404) 736-7198.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatric001267GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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