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AUGUSTA PODIATRY ASSOCIATES NPI 1679616072


NPI Information

NPI: 1679616072
Provider Name: AUGUSTA PODIATRY ASSOCIATES
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2030 WALTON WAY
AUGUSTA, GA
ZIP 30904
Phone: (706) 738-1925
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AUGUSTA PODIATRY ASSOCIATES is a podiatrist in Augusta, 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. AUGUSTA PODIATRY ASSOCIATES NPI is 1679616072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2030 WALTON WAY
AUGUSTA, GA
ZIP 30904-120
Phone: (706) 738-1925
Fax: (706) 738-0705

The provider's authorized official is Gloria Rosier Crewsonberry .
The authorized official title is Billing Manager and has the following contact phone number (706) 738-1925.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 6/18/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPOD000710GEORGIAYes

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
11821064445MEDICARE UPINGEORGIA
2GRP3282MEDICARE PINGEORGIA
3CI4591OTHERGEORGIARAILROAD MEDICARE
41295730001MEDICARE NSCGEORGIA

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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