DIABETIC FOOT CARE SPECIALIST OF GEORGIA


Address: 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266
Phone: 4047596755

DIABETIC FOOT CARE SPECIALIST OF GEORGIA (NPI# 1053506162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053506162
Entity Type Organization
Organization Name DIABETIC FOOT CARE SPECIALIST OF GEORGIA
Practice Address 238 Walker St Sw
Unit #12
Atlanta
GA 30313-1266
Practice Telephone 4047596755
Practice Fax Number 3342713768
Mailing Telephone 4047596755
Mailing Fax Number 3342713768
Enumeration Date 2007-09-11
Last Update Date 2008-03-26
Authorized Official Name DR. THERESA IOLA BROWN (CEO/OWNER)
Authorized Official Telephone 4047596755
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
POD000681 GA Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 238 WALKER ST SW
UNIT #12
City ATLANTA
State GA
Zip Code 30313-1266

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NPI Name Taxonomy Address Enumeration
1275067894 Brittni Fleming Counselor 250 Park Avenue West, Atlanta, GA 30313 2017-04-20
1417163916 Kelly K Hudson Nurse Practitioner 239 Ivan Allen Jr. Boulevard, Atlanta, GA 30313 2007-05-14
1134158413 Francine Blonnetta Ricketts Physician Assistant 430 Centennial Olympic Park Drive, Atlanta, GA 30313 2006-06-30
1053348540 Deborah Robinson Maclean Specialist/Technologist Healthworks/the Coca-cola Company, One Coca-cola Plaza - Hmc, Atlanta, GA 30313 2006-06-28
1851345904 William C Warren Iv Pediatrics 239 Ivan Allen Jr Blvd, Atlanta, GA 30313 2006-05-22
1790222834 Courtney Dean Specialist/Technologist 150 Bobby Dodd Way, Atlanta, GA 30313 2017-01-27
1932503711 Emory Employer Based Health Services Clinic/Center 1 Coca Cola Plz Nw, Atlanta, GA 30313 2014-10-22
1124342019 Professional Speech & Language Therapy, Inc Clinic/Center 210 Walker St Sw Unit 5, Atlanta, GA 30313-1213 2010-03-21
1285145789 Express At Northside LLC Pharmacy 296 Northside Dr Sw, Atlanta, GA 30313-1228 2017-10-24
1730155144 Javonya Donell Clemons Speech-Language Pathologist 210 Walker Street, Loft 5, Atlanta, GA 30313-1257 2006-02-24
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447308713 Northside Podiatry, PC Podiatrist 5505 Peachtree Dunwoody Rd Ne Ste 420, Atlanta, GA 30342-1713 2007-01-05
1871929893 Podiatry Care of Georgia Podiatrist 415 Armour Dr Ne, 3103, Atlanta, GA 30324-3933 2013-09-23
1881039972 Atkins Foot & Ankle Center, Inc. Podiatrist 2001 Martin Luther King Jr Dr Sw, Suite 300, Atlanta, GA 30310-1101 2013-05-03
1255414520 Arnita F Avery Dpm PC Podiatrist 5825 Glenridge Dr, Building 2, Suite 110, Atlanta, GA 30328-5387 2006-10-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033741632 Serenity Podiatry and Med Spa LLC Podiatrist 770 Old Roswell Pl Ste A300, Roswell, GA 30076-1697 2020-02-11
1275914749 Nrup Tolat Podiatrist 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 2015-06-10
1396088803 Jae Y Shin Podiatrist 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 2013-04-03
1598010720 Swga Foot & Ankle Center Podiatrist 415 E 4th Ave Ste B, Cordele, GA 31015-0614 2012-07-13
1548524937 Swga Foot & Ankle Center Podiatrist 922 E Jefferson St Ste D, Americus, GA 31709-4781 2012-06-29
1952667305 Agape Foot & Ankle Clinic, LLC Podiatrist 3693 Wittenburg Ct, Decatur, GA 30034-5507 2012-04-10
1275780199 Azuka Ifeyinwa Nwaedozie Podiatrist 3364 Medina Dr, Jonesboro, GA 30236-6873 2008-08-21
1386804045 Howard Foot&leg Specialists,pc. Podiatrist 12476 Hopewell Rd, Alpharetta, GA 30004-1347 2008-06-16
1356549141 Dwayne Lay Podiatrist 210 Oakside Ln Ste B, Canton, GA 30114-6417 2007-07-03
1710002241 Personal Foot & Ankle Specialist,pc Podiatrist 1820 N Columbia St, Milledgeville, GA 31061-2300 2007-03-21
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City ATLANTA
Zip Code 30313

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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