Special Care Podiatry Of Georgia, Llc | |
212 Ga Highway 49 N, Ste. 900, Byron, GA 31008-4057 | |
(305) 542-0830 | |
Not Available |
Full Name | Special Care Podiatry Of Georgia, Llc |
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Type | Facility |
Speciality | Podiatrist |
Location | 212 Ga Highway 49 N, Byron, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891195962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Robert P Brissett |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912999004 PECOS PAC ID: 4587612023 Enrollment ID: I20050111000586 |
Provider Name | Suzanne M Clous |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1225012156 PECOS PAC ID: 8628019254 Enrollment ID: I20050513000403 |
Provider Name | Vanita J Johnson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1902868235 PECOS PAC ID: 6901835586 Enrollment ID: I20050804000850 |
Provider Name | Anastasia Thomas |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1740227859 PECOS PAC ID: 3476562448 Enrollment ID: I20061025000443 |
Provider Name | Adrienne Migayle Atkinson-sneed |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366462699 PECOS PAC ID: 1658452909 Enrollment ID: I20080114000118 |
Provider Name | Kermit Roosevelt Ary |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811980014 PECOS PAC ID: 5395828768 Enrollment ID: I20101005000176 |
Provider Name | Aliya Fagan Matthews |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487819173 PECOS PAC ID: 1658551726 Enrollment ID: I20120321000628 |
Provider Name | Irma N Wejuli |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1083842637 PECOS PAC ID: 1658536800 Enrollment ID: I20120713000170 |
Provider Name | Keith Miller |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942354485 PECOS PAC ID: 3476731837 Enrollment ID: I20130603000529 |
Provider Name | Erinn Nicole Ponder - Williams |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255642609 PECOS PAC ID: 7315178704 Enrollment ID: I20140327002316 |
Provider Name | Ebony B Conner |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245531821 PECOS PAC ID: 6406070101 Enrollment ID: I20140619002498 |
Provider Name | Patrick Qualtire |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1326333105 PECOS PAC ID: 7315167715 Enrollment ID: I20171004000605 |
Provider Name | Zachary Farley |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1114331436 PECOS PAC ID: 4880960418 Enrollment ID: I20171025002459 |
Provider Name | Harold Coleman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1700313475 PECOS PAC ID: 8426317819 Enrollment ID: I20180110000751 |
Provider Name | Kibibi A Wanzu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1043689623 PECOS PAC ID: 9133475221 Enrollment ID: I20181022002108 |
Provider Name | Nrup R Tolat |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1275914749 PECOS PAC ID: 2163775701 Enrollment ID: I20181029000222 |
Provider Name | Michelle P Glover |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1154627008 PECOS PAC ID: 9537450457 Enrollment ID: I20200908003411 |
Provider Name | Yusuf Abiodun Opakunle |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1194245894 PECOS PAC ID: 7416299110 Enrollment ID: I20200916003230 |
Provider Name | Kinna Patel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1326446873 PECOS PAC ID: 6800106345 Enrollment ID: I20200928002695 |
Provider Name | Dorinda Amun King-adekunle |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598996043 PECOS PAC ID: 0840479200 Enrollment ID: I20210915000536 |
Mailing Address | Practice Location Address |
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Special Care Podiatry Of Georgia, Llc 12910 Shelbyville Rd Ste 300, Louisville, KY 40243-2404 Ph: (502) 244-2441 | Special Care Podiatry Of Georgia, Llc 212 Ga Highway 49 N, Ste. 900, Byron, GA 31008-4057 Ph: (305) 542-0830 |
Walk Well Footcare Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 212 Ga Highway 49 N, Suite 900, Byron, GA 31008 Phone: 305-542-0830 |