Individual
DR. ROGER PETER THEODORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
407 BARRINGTON PT, MACON, GA 31220-8754
(478) 390-2178
(478) 471-0104
Mailing address
841 MULBERRY ST, MACON, GA 31201
(478) 741-1192
(478) 741-0029
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00655322A
—
GA
01
—
480018494
RAILROAD MEDICARE
—
01
—
480025693
RAILROAD MEDICARE
—
Enumeration date
03/07/2006
Last updated
08/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us