Premier Podiatry, Inc

NPI 1265789424 - Clinic/Center - 261QP1100X

NPI Details
NPI 1265789424
Enumeration Date 08/07/2012
Last Updated 04/11/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JONNICA SHENEA JONNICA
Position CEO/PODIATRIST
Phone (678) 963-5950
Fax (678) 963-0342
Practice Location
656 EXCHANGE CIRCLE
SUITE 200
BETHLEHEM GA, 30620-1763, US
Phone (678) 963-5950
Fax (678) 963-0342
Business Location
656 EXCHANGE CIRCLE
SUITE 200
BETHLEHEM GA, 30620-1763, US
Phone (678) 963-5950
Fax (678) 963-0342
Toxanomy
Taxonomy Code 261QP1100X
License State Georgia
License Number 1099
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According to our database, Premier Podiatry, Inc NPI is 1265789424, taxonomy code is 261QP1100X and license number is 1099, license state is located at Georgia. Premier Podiatry, Inc physically located at 656 Exchange Circle, Bethlehem GA, 30620-1763. NPI Number 1033115704 has the healthcare provider type.

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1265789424 NPI number is provided on an as is basis without warranty of any kind. 1265789424 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Podiatry, Inc are for informational purposes only.