MEDICARE: FAMILY PODIATRY CENTER 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
1	261QP1100X	Podiatric Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0867410001	OTHER	GA	MEDICARE DMERC PROVIDER

General Provider Information

NPI Number	:	1447362298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PODIATRY CENTER PC

Provider Business Mailing Address
First Line	:	PO BOX 1106
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30459-1106
Country	:	US
Telephone Number	:	912-489-8727
Fax Number	:	912-764-7882

Provider Business Practice Location Address
First Line	:	95 BEL AIR DR
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30461-6879
Country	:	US
Telephone Number	:	912-489-8727
Fax Number	:	912-764-7882

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. ROBERT WILLIAM CUSHNER
Credential	:	DPM
Telephone Number	:	912-489-8727

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/03/2008

Similar Medicare Providers

1700152113 — STATESBORO AMBULATORY SURGERY CENTER INC
Practice Location Address:

95 BEL AIR DR
STATESBORO, GA
30461-6879

Practice Phone: 912-489-6519
Practice Fax: 912-764-7882

1619953205 — MCCOOKS PHARMACY INC
Practice Location Address:

23630 US HIGHWAY 80 E
STATESBORO, GA
30461-6019

Practice Phone: 912-764-2223
Practice Fax: 912-764-2228

1417908781 — MS. BARBARA HARRIS M.ED., ED.S., LPC
Practice Location Address:

315 MEADOWLARK CIR
STATESBORO, GA
30461-6973

Practice Phone: 912-489-5480
Practice Fax: 912-764-4113

1447286976 — DR. BRENT COLEMAN LAIRCEY O.D.
Practice Location Address:

820 US HIGHWAY 80 E
STATESBORO, GA
30461-0800

Practice Phone: 912-489-3937
Practice Fax: 912-489-7655

1568480051 — DR. ROBERT WILLIAM CUSHNER DPM
Practice Location Address:

95 BEL AIR DRIVE
STATESBORO, GA
30461

Practice Phone: 912-489-8727
Practice Fax: 912-764-7882

1265449789 — MRS. LESLIE MARTIN JOHNSON M.S, CCC-SLP
Practice Location Address:

604 BUCKSHOT CT
STATESBORO, GA
30461-4496

Practice Phone: 912-764-7833
Practice Fax: 912-764-7833

Directions to “FAMILY PODIATRY CENTER 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.