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VILLAGE PODIATRY GROUP LLC. NPI 1104203710


NPI Information

NPI: 1104203710
Provider Name: VILLAGE PODIATRY GROUP, LLC.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4450 CALIBRE CROSSING NW
SUITE #1130
ACWORTH, GA
ZIP 30101
Phone: (770) 943-8809
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VILLAGE PODIATRY GROUP, LLC. is a podiatrist in Acworth, 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. VILLAGE PODIATRY GROUP, LLC. NPI is 1104203710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4450 CALIBRE CROSSING NW
SUITE #1130
ACWORTH, GA
ZIP 30101-104
Phone: (770) 943-8809
Fax: (770) 943-8809

The provider's authorized official is David N. Helfman .
The authorized official title is C.e.o. and has the following contact phone number (678) 426-2171.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 7/18/2016.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11103400046MEDICARE NSCGEORGIA
2GRP2066MEDICARE PINGEORGIA

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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