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NPI Code Detail

MEDICARE: VILLAGE PODIATRY GROUP, LLC.

MEDICARE: VILLAGE PODIATRY GROUP, LLC.
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
1213E00000XPodiatrist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CL1536OTHERGARAILROAD MEDICARE GRP NBR

General Provider Information

NPI Number : 1912006909
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLAGE PODIATRY GROUP, LLC.
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 : 770-384-0284
Fax Number : 404-446-1957
Provider Business Practice Location Address
First Line : 3200 HIGHLANDS PKWY.
Second Line : STE. 100
City : SMYRNA
State : GA
Zip : 30082-5192
Country : US
Telephone Number : 770-319-5502
Fax Number : 770-434-9010
Authorized Official
Title or Position : CEO
Name : DAVID N. HELFMAN
Credential : DPM
Telephone Number : 770-384-0284
Provider Enumeration Date : 09/22/2006
Last Update Date : 03/31/2016

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Directions to “VILLAGE PODIATRY GROUP, LLC. ” Practice Location

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