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Contact Information

BARE FOOT CARE SPECIALIST, LLC
3485 ATLANTA HWY
FLOWERY BRANCH, GA30542-2918
 Phone: 770-531-9222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BARE FOOT CARE SPECIALIST, LLC

NPI # 1306004874
LBN Legal business name BARE FOOT CARE SPECIALIST, LLC
Authorized official JEANNETTE VELAZQUEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2008
Last updated 01/23/2009 - About 17 years ago
Identifiers
GA License # POD 1075
GA Medicaid 576003162B
GA Other 7861901 AETNA
GA Other 52222642-004 BCBS
GA Other 4384641 CIGNA
GA Other 511G700542 MEDICARE PART B
GA Other 2771997 UHC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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