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ATHENS PODIATRY P.C. NPI 1033285457


NPI Information

NPI: 1033285457
Provider Name: ATHENS PODIATRY, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3320 OLD JEFFERSON RD
BUILDING 300, SUITE A
ATHENS, GA
ZIP 30607
Phone: (706) 546-7417
Get Directions

ATHENS PODIATRY, P.C. is a podiatrist in Athens, GA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ATHENS PODIATRY, P.C. NPI is 1033285457. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3320 OLD JEFFERSON RD
BUILDING 300, SUITE A
ATHENS, GA
ZIP 30607-400
Phone: (706) 546-7417
Fax: (706) 612-1310

The provider's authorized official is Mauro A Rossi .
The authorized official title is President and has the following contact phone number (706) 546-7417.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/30/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPOD000767GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP2468MEDICARE PINGEORGIA
20799220001MEDICARE NSCGEORGIA
3U32554MEDICARE UPINGEORGIA
4000679533AMEDICAIDGEORGIA

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: 4/28/2024

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