Southern Podiatry Foot And Ankle Llc is a
Podiatrist based in Homer, Georgia. Southern Podiatry Foot And Ankle Llc is licensed to practice in Tennessee (license number 5981134) and their current practice location is
212 Lake Pehama Trail, Homer, Georgia. It can be reached at their office (for appointments etc.) via phone at
(312) 752-7713.
NPI number for Southern Podiatry Foot And Ankle Llc is 1619112968 and their current mailing address is 212 Lake Pehama Trail, Homer, Georgia. Southern Podiatry Foot And Ankle Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619112968.
Healthcare Provider's Profile
Full Name | Southern Podiatry Foot And Ankle Llc |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 212 Lake Pehama Trail, Homer, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619112968
- Provider Enumeration Date: 12/15/2008
- Last Update Date: 12/15/2008
Medical Identifiers
Medical identifiers for Southern Podiatry Foot And Ankle Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619112968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | 5981134 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southern Podiatry Foot And Ankle Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Southern Podiatry Foot And Ankle Llc 212 Lake Pehama Trail, Homer, GA 30547 Ph: (312) 752-7713 | Southern Podiatry Foot And Ankle Llc 212 Lake Pehama Trail, Homer, GA 30547 Ph: (312) 752-7713 |
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