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Individual
DR. GRAHM G BAHNSON
Active
Individual
DR. GRAHM G BAHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD001245
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
POD001245
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001245
GA
213ES0131X
Foot Surgery Podiatrist
POD001245
GA
Other
Enumeration date
12/12/2011
Last updated
09/26/2019
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