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Individual
EVAN M BRODY
Active
Individual
EVAN M BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000937
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10055122
AMERIGROUP - MEDICAID
GA
01
—
1400101
GHI
GA
01
—
2700264
UNITED HEALTHCARE
GA
01
—
2701694
EVERCARE
GA
01
—
3262431
AETNA
GA
05
—
332208
—
GA
05
—
457858901A
—
GA
01
—
581994261
FIRST HEALTH
GA
01
—
6241458
CIGNA
GA
Enumeration date
02/20/2006
Last updated
07/21/2022
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