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GEORGIA DOCTORS FOOT & LEG CENTER LLC NPI 1609524487


NPI Information

NPI: 1609524487
Provider Name: GEORGIA DOCTORS FOOT & LEG CENTER, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
940 PIO NONO AVE
MACON, GA
ZIP 31204
Phone: (478) 254-4026
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GEORGIA DOCTORS FOOT & LEG CENTER, LLC is a podiatrist in Macon, 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. GEORGIA DOCTORS FOOT & LEG CENTER, LLC NPI is 1609524487. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

940 PIO NONO AVE
MACON, GA
ZIP 31204-059
Phone: (478) 254-4026
Fax: (478) 254-4031

The provider's authorized official is Suprihatin Oshiokpekhai .
The authorized official title is Office Manager and has the following contact phone number (478) 328-6466.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 3/11/2022.


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
1213E00000XPodiatristYes

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
1000737492EMEDICAIDGEORGIA

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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