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NPI Code Detail

MEDICARE: NORTH ATLANTA PODIATRY GRP,PC

MEDICARE: NORTH ATLANTA PODIATRY GRP,PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CN7503OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20430650006OTHERGACIGNA GOVERNMENT SERVICES

General Provider Information

NPI Number : 1255625521
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH ATLANTA PODIATRY GRP,PC
Provider Business Mailing Address
First Line : 771 OLD NORCROSS RD
Second Line : STE 355
City : LAWRENCEVILLE
State : GA
Zip : 30046-4386
Country : US
Telephone Number : 770-963-5161
Fax Number : 678-430-0018
Provider Business Practice Location Address
First Line : 4445 S LEE ST
Second Line : STE 200
City : BUFORD
State : GA
Zip : 30518-8804
Country : US
Telephone Number : 770-963-5161
Fax Number : 678-430-0018
Authorized Official
Title or Position : PARTNER
Name : ROBERT I SCHWARTZ
Credential :
Telephone Number : 770-963-5161
Provider Enumeration Date : 06/04/2011
Last Update Date : 06/04/2011

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Directions to “NORTH ATLANTA PODIATRY GRP,PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.