NPI Profile for STEVEN B GEORGIAN in LUCEDALE, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1699237461 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/02/2019 | |
| Last updated | 07/15/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEVEN B GEORGIAN
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