Organization
ATHENS PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURO A ROSSI DPM (PRESIDENT)
(706) 546-7417
Entity
Organization
Contact information
Practice address
3320 OLD JEFFERSON RD, BUILDING 300, SUITE A, ATHENS, GA 30607-1400
(706) 546-7417
(706) 612-1310
Mailing address
3320 OLD JEFFERSON RD, BUILDING 300, SUITE A, ATHENS, GA 30607-1400
(706) 546-7417
(706) 612-1310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000679533A
—
GA
Enumeration date
11/28/2006
Last updated
09/30/2009
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