NORTHSIDE PODIATRY PC NPI 1447308713

NPI Information

NORTHSIDE PODIATRY, PC is a primary podiatric medicine podiatrist in Atlanta, GA. NORTHSIDE PODIATRY, PC NPI is 1447308713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5505 PEACHTREE DUNWOODY RD NE STE 420
ATLANTA, GA
ZIP 30342-713
Phone: (404) 843-0090
Fax: (404) 843-1008

The provider's authorized official is Janice Griffin .
The authorized official title is Office Manager and has the following contact phone number (404) 843-0090.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 6/20/2008.

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:

Other Identifiers

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