Organization
FAMILY PODIATRY CENTER PC
Active
Organization
FAMILY PODIATRY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM CUSHNER DPM (OWNER/CEO)
(912) 489-8727
Entity
Organization
Contact information
Practice address
95 BEL AIR DR, STATESBORO, GA 30461-6879
(912) 489-8727
(912) 764-7882
Mailing address
PO BOX 1106, STATESBORO, GA 30459-1106
(912) 489-8727
(912) 764-7882
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0867410001
MEDICARE DMERC PROVIDER
GA
Enumeration date
08/31/2006
Last updated
11/03/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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