Individual
KURTIS BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20 GLENLAKE PKWY, ATLANTA, GA 30328-3473
(631) 645-8110
Mailing address
20 GLENLAKE PKWY, ATLANTA, GA 30328-3473
(631) 645-8110
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1000185
DC
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001449
GA
Other
Enumeration date
04/12/2017
Last updated
10/19/2022
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