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AUGUSTA FOOT & ANKLE PC NPI 1619185352


NPI Information

NPI: 1619185352
Provider Name: AUGUSTA FOOT & ANKLE, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4350 TOWNE CENTRE DR
SUITE 3000
EVANS, GA
ZIP 30809
Phone: (706) 312-3668
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AUGUSTA FOOT & ANKLE, PC is a foot and ankle surgery podiatrist in Evans, GA. AUGUSTA FOOT & ANKLE, PC NPI is 1619185352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4350 TOWNE CENTRE DR
SUITE 3000
EVANS, GA
ZIP 30809-301
Phone: (706) 312-3668

The provider's authorized official is Brian Nathan Bennett .
The authorized official title is Cfo and has the following contact phone number (706) 312-3668.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 10/28/2010.


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 SurgeryPOD000728GEORGIAYes

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
1GRP4038MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
24292280003MEDICARE NSCGEORGIA

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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