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STRIDE FOOT & ANKLE CENTER LLC NPI 1306323738


NPI Information

NPI: 1306323738
Provider Name: STRIDE FOOT & ANKLE CENTER, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4775 JIMMY CARTER BLVD STE 101
NORCROSS, GA
ZIP 30093
Phone: (678) 694-8407
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STRIDE FOOT & ANKLE CENTER, LLC is a podiatrist in Norcross, 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. STRIDE FOOT & ANKLE CENTER, LLC NPI is 1306323738. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4775 JIMMY CARTER BLVD STE 101
NORCROSS, GA
ZIP 30093-760
Phone: (678) 694-8407
Fax: (678) 694-8437

The provider's authorized official is Claude I Mayembe .
The authorized official title is Owner and has the following contact phone number (678) 288-9205.

The enumeration date for this NPI number is 7/28/2018 and was last updated on 6/19/2023.


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
1213E00000XPodiatristPOD001203GEORGIAYes

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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