BARE FOOT CARE SPECIALIST LLC NPI 1306004874

NPI Information

NPI: 1306004874
Provider Name: BARE FOOT CARE SPECIALIST, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3485 ATLANTA HWY
FLOWERY BRANCH, GA
ZIP 30542
Phone: (770) 531-9222
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BARE FOOT CARE SPECIALIST, LLC is a podiatrist in Flowery Branch, 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. BARE FOOT CARE SPECIALIST, LLC NPI is 1306004874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3485 ATLANTA HWY
FLOWERY BRANCH, GA
ZIP 30542-918
Phone: (770) 531-9222

The provider's authorized official is Jeannette Velazquez .
The authorized official title is Owner and has the following contact phone number (770) 531-9222.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 1/23/2009.

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	213E00000X	Podiatrist		POD 1075	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	Other Provider Identifier Issuer
1	4384641	OTHER	GEORGIA	CIGNA
2	576003162B	MEDICAID	GEORGIA
3	6142750001	MEDICARE NSC	GEORGIA
4	2771997	OTHER	GEORGIA	UHC
5	511G700542	OTHER	GEORGIA	MEDICARE PART B
6	7861901	OTHER	GEORGIA	AETNA
7	52222642-004	OTHER	GEORGIA	BCBS

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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