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ATLANTA PODIATRY PC NPI 1306867254


NPI Information

NPI: 1306867254
Provider Name: ATLANTA PODIATRY PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4385 JOHNS CREEK PKWY
SUITE 200
SUWANEE, GA
ZIP 30024
Phone: (770) 418-0456
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ATLANTA PODIATRY PC is a foot and ankle surgery podiatrist in Suwanee, GA. ATLANTA PODIATRY PC NPI is 1306867254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4385 JOHNS CREEK PKWY
SUITE 200
SUWANEE, GA
ZIP 30024-093
Phone: (770) 418-0456

The provider's authorized official is Rupal Patel Gupta .
The authorized official title is Physician and has the following contact phone number (770) 418-0456.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 4/18/2014.


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
1213ES0103XPodiatristFoot & Ankle SurgeryPOD000958GEORGIAYes

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
15363600001MEDICARE NSCGEORGIA
2U94009MEDICARE UPINGEORGIA
3U80353MEDICARE UPINGEORGIA
4GRP6991MEDICARE 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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