MEDICARE: AARON D SOLOMON D.P.M.

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
1	213E00000X	Podiatrist	POD000914	GA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	DPM0000000610	TN
3	213ES0103X	Foot & Ankle Surgery Podiatrist	POD000914	GA

General Provider Information

NPI Number	:	1356344691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON D SOLOMON D.P.M.

Provider Business Mailing Address
First Line	:	900 CIRCLE 75 PKWY.
Second Line	:	STE. 900
City	:	ATLANTA
State	:	GA
Zip	:	30339-3084
Country	:	US
Telephone Number	:	678-426-2171
Fax Number	:	404-446-1957

Provider Business Practice Location Address
First Line	:	2368 BATTLEFIELD PKWY
Second Line	:
City	:	FORT OGLETHORPE
State	:	GA
Zip	:	30742-4030
Country	:	US
Telephone Number	:	706-861-6200
Fax Number	:	706-861-6222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	12/04/2015

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