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ELITE FOOT AND ANKLE SPECIALIST-PC NPI 1750525515


NPI Information

NPI: 1750525515
Provider Name: ELITE FOOT AND ANKLE SPECIALIST-PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1468 SPRINGLEAF CIR SE
SMYRNA, GA
ZIP 30080
Phone: (678) 360-7939
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ELITE FOOT AND ANKLE SPECIALIST-PC is a foot and ankle surgery podiatrist in Smyrna, GA. ELITE FOOT AND ANKLE SPECIALIST-PC NPI is 1750525515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1468 SPRINGLEAF CIR SE
SMYRNA, GA
ZIP 30080-400
Phone: (678) 360-7939

The provider's authorized official is Grace Ivie Ejaife-austin .
The authorized official title is Podiatrist and has the following contact phone number (678) 360-7939.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2009.


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 SurgeryPOD001084GEORGIAYes

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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