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GREG LIFFERTH DPM NPI 1124552492


NPI Information

NPI: 1124552492
Provider Name: GREG LIFFERTH, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1107 BROADRICK DR
DALTON, GA
ZIP 30720
Phone: (706) 278-5558
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Greg Lifferth, DPM is a foot and ankle surgery podiatrist in Dalton, GA with 7 years of experience. Greg Lifferth, DPM NPI is 1124552492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduation Year:2017

The provider's business location address is:

1107 BROADRICK DR
DALTON, GA
ZIP 30720-592
Phone: (706) 278-5558
Fax: (706) 278-6334

The NPI 1124552492 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/13/2017 and was last updated on 7/31/2020.


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 SurgeryPOD001463GEORGIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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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