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Organization
THOMSON PODIATRY ASSOCIATES, PC
Active
Organization
THOMSON PODIATRY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA C ROBERTS (OFFICE MANAGER)
(706) 597-0102
Entity
Organization
Contact information
Practice address
1043 WASHINGTON RD, THOMSON, GA 30824-7318
(706) 597-0102
(706) 597-1998
Mailing address
1043 WASHINGTON RD, THOMSON, GA 30824-7318
(706) 597-0102
(706) 597-1998
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000701511E
—
GA
05
—
000971517A
—
GA
05
—
733822071A
—
GA
01
—
POD000713
LICENSE #
GA
01
—
POD001025
LICENSE #
GA
Enumeration date
08/31/2006
Last updated
03/07/2023
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