GA FOOT AND ANKLE INSTITUTE NPI 1104218544

NPI Information

NPI: 1104218544
Provider Name: GA FOOT AND ANKLE INSTITUTE
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
119 CANAL ST
SUITE 106
POOLER, GA
ZIP 31322
Phone: (912) 355-6503
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GA FOOT AND ANKLE INSTITUTE is a foot and ankle surgery podiatrist in Pooler, GA. GA FOOT AND ANKLE INSTITUTE NPI is 1104218544. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

119 CANAL ST
SUITE 106
POOLER, GA
ZIP 31322-095
Phone: (912) 355-6503
Fax: (912) 355-9837

The provider's authorized official is Kimberly Varner .
The authorized official title is Practice Manager and has the following contact phone number (912) 355-6503.

The enumeration date for this NPI number is 2/23/2015 and was last updated on 2/23/2015.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	885	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000880514	MEDICAID	GEORGIA
2	GRP374	MEDICARE PIN	GEORGIA
3	U95769	MEDICARE UPIN	GEORGIA
4	0634000002	MEDICARE NSC	GEORGIA

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

NPI Synchronization or Removal

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