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Individual

DR. NELS ARVID VASENDEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
298 PRINCE AVE, ATHENS, GA 30601-2445
(706) 546-7417
(706) 546-0794
Mailing address
298 PRINCE AVE, ATHENS, GA 30601-2445
(706) 546-7417
(706) 546-0794

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000312
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00006278A
GA
Enumeration date
12/12/2005
Last updated
07/08/2007
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