Dr Joseph Nicholas Colasurdo, DPM | |
202 Insperon Dr Ste 202, Grovetown, GA 30813-0602 | |
(706) 597-0102 | |
Not Available |
Full Name | Dr Joseph Nicholas Colasurdo |
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Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 202 Insperon Dr Ste 202, Grovetown, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053801498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 007215 (New York) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001547 (Georgia) | Primary |
Provider Name | 26 Medical, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326594888 PECOS PAC ID: 0244500619 Enrollment ID: O20180612003317 |
Mailing Address | Practice Location Address |
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Dr Joseph Nicholas Colasurdo, DPM 6350 Lake Oconee Pkwy Ste 110, Greensboro, GA 30642-6490 Ph: (706) 597-0102 | Dr Joseph Nicholas Colasurdo, DPM 202 Insperon Dr Ste 202, Grovetown, GA 30813-0602 Ph: (706) 597-0102 |
26 Foot And Ankle, Grovetown Podiatrist Medicare: Medicare Enrolled Practice Location: 202 Insperon Dr Ste 202, Grovetown, GA 30813 Phone: 706-597-0102 Fax: 706-257-0258 | |
Dr. Christopher Robert Menke, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 202 Insperon Dr Ste 202, Grovetown, GA 30813 Phone: 706-597-0102 Fax: 706-597-1998 |