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Contact Information

ALLSTAR FOOT CARE CENTER LLC
285 BOULEVARD NE
SUITE 140
ATLANTA, GA30312-4205
 Phone: 404-265-1044
 Fax: 404-265-1047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALLSTAR FOOT CARE CENTER LLC

NPI Number 1730346941
LBN Legal business name ALLSTAR FOOT CARE CENTER LLC
Authorized official BENEDICTO BITUIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2008
Last updated 06/14/2011 - About 15 years ago
Identifiers
GA License # 000819
GA Medicaid 00783956B
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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