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NPI Code Detail

MEDICARE: THOMSON PODIATRY ASSOCIATES, PC

MEDICARE: THOMSON PODIATRY ASSOCIATES, 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
1213ES0103XFoot & Ankle Surgery Podiatrist000713GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2POD001025OTHERGALICENSE #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4POD000713OTHERGALICENSE #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639281678
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMSON PODIATRY ASSOCIATES, PC
Provider Business Mailing Address
First Line : 1043 WASHINGTON RD
Second Line :
City : THOMSON
State : GA
Zip : 30824-7318
Country : US
Telephone Number : 706-597-0102
Fax Number : 706-597-1998
Provider Business Practice Location Address
First Line : 1043 WASHINGTON RD
Second Line :
City : THOMSON
State : GA
Zip : 30824-7318
Country : US
Telephone Number : 706-597-0102
Fax Number : 706-597-1998
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. DONNA C ROBERTS
Credential :
Telephone Number : 706-597-0102
Provider Enumeration Date : 08/31/2006
Last Update Date : 03/07/2023

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Directions to “THOMSON PODIATRY ASSOCIATES, PC ” Practice Location

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