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Organization
MARK J. GREENBAUM, D.P.M., P.C.
Active
Organization
MARK J. GREENBAUM, D.P.M., P.C.
Active
Other names
Northpointe Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE E. ROBERTSON (ADMINISTRATOR)
(770) 279-2900
Entity
Organization
Contact information
Practice address
63 HIGHWAY 515 E, BLAIRSVILLE, GA 30512-8501
(706) 745-1500
Mailing address
PO BOX 309, BLAIRSVILLE, GA 30514-0309
(706) 745-1500
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000611
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000412068C
—
GA
Enumeration date
08/29/2007
Last updated
12/29/2022
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