DWAYNE A LAY LLC NPI 1598269714

NPI Information

NPI: 1598269714
Provider Name: DWAYNE A LAY LLC

Doing Business As: ELITE FOOT AND ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
10515 BELLS FERRY RD STE 200
CANTON, GA
ZIP 30114
Phone: (770) 765-5828
Get Directions

DWAYNE A LAY LLC is a foot and ankle surgery podiatrist in Canton, GA. DWAYNE A LAY LLC NPI is 1598269714. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elite Foot And Ankle.

The provider's business location address is:

10515 BELLS FERRY RD STE 200
CANTON, GA
ZIP 30114-242
Phone: (770) 765-5828
Fax: (678) 388-0977

The provider's authorized official is Dwayne A Lay .
The authorized official title is Medical Director and has the following contact phone number (770) 765-5828.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 9/7/2022.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	POD001230	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	1598269714	OTHER	GEORGIA	AETNA
2	1598269714	OTHER	GEORGIA	TRANS AMERICA
3	1598269714	OTHER	GEORGIA	UNITED OF OMAHA
4	1598269714	OTHER	GEORGIA	ANTHEM OF GEORGIA
5	1598269714	OTHER	GEORGIA	CHAMPVA
6	1598269714	OTHER	GEORGIA	GHI
7	1598269714	OTHER	GEORGIA	UNITEDHEALTHCARE
8	1598269714	OTHER	GEORGIA	CIGNA
9	1598269714	OTHER	GEORGIA	TRICARE EAST/LIFE/PRIME
10	1598269714	OTHER	GEORGIA	RAILROAD MEDICARE
11	1598269714	OTHER	GEORGIA	HUMANA

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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