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Individual
TOBI TODD
Active
Individual
TOBI TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10039291
AMERIGROUP, MEDICAID
GA
01
—
314296
WELLCARE MEDICAID
GA
01
—
7915649
AETNA
GA
01
—
847406400A
PEACH STATE HEALTH PLAN
GA
05
—
847406400A
—
GA
05
—
847406400C
—
GA
01
—
847406400D
PEACH STATE HEALTH PLAN
GA
05
—
847406400D
—
GA
Enumeration date
10/05/2005
Last updated
01/21/2016
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