TYRONE PODIATRY NPI 1578588265

NPI Information

NPI: 1578588265
Provider Name: TYRONE PODIATRY
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
1129 SENOIA RD
TYRONE, GA
ZIP 30290
Phone: (770) 774-2837
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TYRONE PODIATRY is a podiatric clinic center in Tyrone, GA. TYRONE PODIATRY NPI is 1578588265. The provider is registered as an organization entity type.

The provider's business location address is:

1129 SENOIA RD
TYRONE, GA
ZIP 30290-625
Phone: (770) 774-2837

The provider's authorized official is Carmen Mcdonald Ashman .
The authorized official title is Ceo and has the following contact phone number (770) 774-2837.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/9/2009.

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
1	261QP1100X	Clinic/Center	Podiatric	POD001045	GEORGIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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