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GEORGIA PODIATRY INC NPI 1215220090


NPI Information

NPI: 1215220090
Provider Name: GEORGIA PODIATRY, INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5205 STILESBORO RD NW STE 205
KENNESAW, GA
ZIP 30152
Phone: (678) 310-0540
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GEORGIA PODIATRY, INC is a podiatrist in Kennesaw, GA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GEORGIA PODIATRY, INC NPI is 1215220090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5205 STILESBORO RD NW STE 205
KENNESAW, GA
ZIP 30152-765
Phone: (678) 310-0540
Fax: (678) 310-0538

The provider's authorized official is Mary J Stephens .
The authorized official title is Practice Manager and has the following contact phone number (678) 310-0540.

The enumeration date for this NPI number is 5/26/2011 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
1213E00000XPodiatrist000937GEORGIAYes

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
1520666344OTHERBCBS
2DR8420OTHERRAILROAD MEDICARE
31215220090OTHERNPI
41679548168OTHERTRICARE

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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