Unknown Individual – Podiatrist, NPI 1114901956
Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2180, Vineville Avenue, Vineville, Macon, Bibb County, Georgia, 31204, United States
MACON, GA 312043124
Phone: (478) 742-3631
Fax: (478) 741-9513
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| P O D I A T R Y | GA |
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