FOOT AND ANKLE RECONSTRUCTION OF NORTH GEORGIA PC NPI 1619341393

NPI Information

NPI: 1619341393
Provider Name: FOOT AND ANKLE RECONSTRUCTION OF NORTH GEORGIA PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
49 GORDON ROAD
SUITE 104
JASPER, GA
ZIP 30143
Phone: (770) 999-0804
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FOOT AND ANKLE RECONSTRUCTION OF NORTH GEORGIA PC is a foot and ankle surgery podiatrist in Jasper, GA. FOOT AND ANKLE RECONSTRUCTION OF NORTH GEORGIA PC NPI is 1619341393. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

49 GORDON ROAD
SUITE 104
JASPER, GA
ZIP 30143-017
Phone: (770) 999-0804
Fax: (770) 999-0814

The provider's authorized official is Bret J Hintze .
The authorized official title is Authorized Official and has the following contact phone number (770) 999-0804.

The enumeration date for this NPI number is 11/18/2015 and was last updated on 2/22/2019.

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	Primary
1	213E00000X	Podiatrist		No
2	213ES0131X	Podiatrist	Foot Surgery	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	Yes

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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