Individual
TOBI TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5835 CAMPBELLTON RD SW, STE 201, ATLANTA, GA 30331-8014
(404) 906-6466
Mailing address
5835 CAMPBELLTON RD SW, STE 201, ATLANTA, GA 30331-8014
(404) 906-6466
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10039291
AMERIGROUP, MEDICAID
GA
01
—
314296
WELLCARE MEDICAID
GA
01
—
7915649
AETNA
GA
01
—
847406400A
PEACH STATE HEALTH PLAN
GA
05
—
847406400A
—
GA
05
—
847406400C
—
GA
01
—
847406400D
PEACH STATE HEALTH PLAN
GA
05
—
847406400D
—
GA
Enumeration date
10/05/2005
Last updated
01/21/2016
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