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GEORGIA BLUE FOOT AND ANKLELLC NPI 1508387796


NPI Information

NPI: 1508387796
Provider Name: GEORGIA BLUE FOOT AND ANKLE,LLC

Other Name: WATSON AND COWANS FOOT AND ANKLE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3387 HIGHWAY 5 STE H
DOUGLASVILLE, GA
ZIP 30135
Phone: (800) 891-4930
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GEORGIA BLUE FOOT AND ANKLE,LLC is a podiatrist in Douglasville, 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 BLUE FOOT AND ANKLE,LLC NPI is 1508387796. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Watson And Cowans Foot And Ankle.

The provider's business location address is:

3387 HIGHWAY 5 STE H
DOUGLASVILLE, GA
ZIP 30135-900
Phone: (800) 891-4930
Fax: (770) 741-0775

The provider's authorized official is Danielle Matrece Green- Watson .
The authorized official title is Owner/ Partner and has the following contact phone number (407) 844-4499.

The enumeration date for this NPI number is 6/28/2017 and was last updated on 6/28/2017.


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
1213E00000XPodiatristPOD001319GEORGIAYes

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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