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Contact Information

ATLANTA SPORTS PODIATRY
9700 MEDLOCK BRIDGE RD STE 126
JOHNS CREEK, GA30097-4408
 Phone: 770-614-0003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ATLANTA SPORTS PODIATRY · (Female)

NPI # 1902371073
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2018
Last updated 11/15/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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