NPI Profile for PROVIDENCE FOOT ANKLE CENTERS PC INC in HIRAM, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry | |
Radiology |
213ER0200X | 48 | Podiatry | |
Sports Medicine |
213ES0000X | 48 | Podiatry |
| NPI Number | 1083972376 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/25/2012 | |
| Last updated | 04/25/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PROVIDENCE FOOT & ANKLE CENTERS, PC, INC
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