MEDICARE: TOBI TODD DPM

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	POD000972	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	847406400A	OTHER	GA	PEACH STATE HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	7915649	OTHER	GA	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	847406400D	OTHER	GA	PEACH STATE HEALTH PLAN

General Provider Information

NPI Number	:	1427045319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOBI TODD DPM

Provider Business Mailing Address
First Line	:	5835 CAMPBELLTON RD SW
Second Line	:	STE 201
City	:	ATLANTA
State	:	GA
Zip	:	30331-8014
Country	:	US
Telephone Number	:	404-906-6466
Fax Number	:

Provider Business Practice Location Address
First Line	:	5835 CAMPBELLTON RD SW
Second Line	:	STE 201
City	:	ATLANTA
State	:	GA
Zip	:	30331-8014
Country	:	US
Telephone Number	:	404-906-6466
Fax Number	:

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	01/21/2016

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Directions to “ TOBI TODD DPM” Practice Location

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