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VILLAGE PODIATRY GROUP LLC NPI 1114010378


NPI Information

NPI: 1114010378
Provider Name: VILLAGE PODIATRY GROUP, LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1198 BUCKHEAD CROSSING
SUITE D
WOODSTOCK, GA
ZIP 30189
Phone: (770) 928-9263
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VILLAGE PODIATRY GROUP, LLC is a podiatrist in Woodstock, 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 1114010378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1198 BUCKHEAD CROSSING
SUITE D
WOODSTOCK, GA
ZIP 30189-257
Phone: (770) 928-9263
Fax: (770) 874-5860

The provider's authorized official is David N. Helfman .
The authorized official title is Ceo and has the following contact phone number (770) 384-0284.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/14/2014.


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
1CL1536OTHERGEORGIARAILROAD MEDICARE GRP NBR
21103400010MEDICARE NSCGEORGIA
3GRP2066MEDICARE 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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