| |
2 Hospital Park, Moultrie, GA 31768-6700 | |
(229) 891-9131 | |
(229) 891-9130 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 2 Hospital Park, Moultrie, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235841784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
Provider Name | Erin E Dodson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407170103 PECOS PAC ID: 1759412273 Enrollment ID: I20100628000642 |
Provider Name | Nicholas B Dodson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144544842 PECOS PAC ID: 7719018233 Enrollment ID: I20100628000798 |
Mailing Address | Practice Location Address |
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Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131 | 2 Hospital Park, Moultrie, GA 31768-6700 Ph: (229) 891-9131 |
Ankle And Foot Assoc, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4 Live Oak Ct, Moultrie, GA 31768 Phone: 229-247-7707 Fax: 229-245-8707 |