Individual
JEROME FREDRICK POEPPELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5405 MEMORIAL DR, BLDG C, STONE MOUNTAIN, GA 30086
(404) 294-5660
Mailing address
PO BOX 922, STONE MOUNTAIN, GA 30086
(404) 294-5660
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
343
GA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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