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NPI Code Detail

MEDICARE: GREENSBORO PODIATRY ASSOCIATES, P.A.

MEDICARE: GREENSBORO PODIATRY ASSOCIATES, P.A.
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
1213E00000XPodiatrist425NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386736429
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENSBORO PODIATRY ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 530 N ELAM AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1153
Country : US
Telephone Number : 336-299-0271
Fax Number : 336-299-8117
Provider Business Practice Location Address
First Line : 530 N ELAM AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1153
Country : US
Telephone Number : 336-299-0271
Fax Number : 336-299-8117
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : MARTHA J AJLOUNY
Credential : DPM
Telephone Number : 336-299-0271
Provider Enumeration Date : 09/28/2006
Last Update Date : 01/17/2011

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Directions to “GREENSBORO PODIATRY ASSOCIATES, P.A. ” Practice Location

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