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CENTURY FOOT CARE SPECIALISTS P.C. NPI 1164433272


NPI Information

NPI: 1164433272
Provider Name: CENTURY FOOT CARE SPECIALISTS, P.C.
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
625 BEAVER RUIN RD NW
SUITE C
LILBURN, GA
ZIP 30047
Phone: (770) 935-4443
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CENTURY FOOT CARE SPECIALISTS, P.C. is a foot surgery podiatrist in Lilburn, GA. CENTURY FOOT CARE SPECIALISTS, P.C. NPI is 1164433272. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

625 BEAVER RUIN RD NW
SUITE C
LILBURN, GA
ZIP 30047-467
Phone: (770) 935-4443
Fax: (770) 935-4475

The provider's authorized official is Lissette E Tirado .
The authorized official title is President and has the following contact phone number (770) 935-4443.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 10/22/2013.


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
1213ES0131XPodiatristFoot Surgery000729GEORGIAYes

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 Other Provider Identifier Issuer
15029850001MEDICARE NSCGEORGIA
2019971009AMEDICAIDGEORGIA
3GRP6130MEDICARE PINGEORGIA

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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