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Physician Compare National (NPI:1609858976)

HEALTHCARE PROVIDER: FELICIA D. PIERRE DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1609858976
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3072545292
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160202001296
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PIERRE
Individual professional last name
Provider First Name FELICIA
Individual professional first name
Provider Middle Name D
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1996
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2300 W PARK PLACE BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 122
Group Practice or individual's line 2 address
City STONE MOUNTAIN
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 300873561
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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