| Kwame N Doh, DPM, MS | |
|
1805 Vernon Rd, Lagrange, GA 30240-3871 | |
| (706) 884-2691 | |
| Not Available |
| Full Name | Kwame N Doh |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1805 Vernon Rd, Lagrange, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104216803 | NPI | - | NPPES |
| POD001503 | Other | GA | LICENCE NUMBER |
| 36004118 | Other | OH | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36004118 (Ohio) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001503 (Georgia) | Primary |
| Provider Name | Licking Memorial Professional Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
| Provider Name | Foot And Ankle Specialists Of Central Ohio Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629382247 PECOS PAC ID: 4981899408 Enrollment ID: O20101110000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Kwame N Doh, DPM, MS 1805 Vernon Rd, Lagrange, GA 30240-3871 Ph: (706) 884-2691 | Kwame N Doh, DPM, MS 1805 Vernon Rd, Lagrange, GA 30240-3871 Ph: (706) 884-2691 |
Lagrange Foot Clinic Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 411 S Greenwood St, Suite A, Lagrange, GA 30240 Phone: 706-883-6415 Fax: 706-884-2429 | |
Dr. Claire Ashley Hollstrom, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1555 Doctors Dr, Ste 106, Lagrange, GA 30240 Phone: 706-845-9370 Fax: 706-845-9371 | |
Dr. Craig Sun, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1555 Doctors Dr, Ste 106, Lagrange, GA 30240 Phone: 706-845-9370 Fax: 706-845-9371 | |
Dr. Richard Paul Hollstrom,jr, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1555 Doctors Dr, Ste 106, Lagrange, GA 30240 Phone: 706-845-9370 Fax: 706-845-9371 | |
Ankle And Foot Center Of Georgia,llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1555 Doctors Dr, Ste 106, Lagrange, GA 30240 Phone: 706-845-9370 Fax: 706-845-9371 | |
Dr. John Paul Warrick Jr., DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 411 S Greenwood St, Lagrange, GA 30240 Phone: 706-883-6415 Fax: 706-884-2429 |