Individual
DR. TROY DAVID ESPIRITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1013 CENTRE BROOK CT, SUITE B, COLUMBUS, GA 31904-4573
(706) 653-5501
(706) 653-5504
Mailing address
1013 CENTRE BROOK CT, SUITE B, COLUMBUS, GA 31904-4573
(706) 653-5501
(706) 653-5504
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000895
GA
213E00000X
Podiatrist
236
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00954269A
—
GA
01
—
0436482793002
EMPLOYER ID
GA
01
—
304882
WELLCARE
GA
01
—
60023560
BCBS OF ALA
AL
01
—
699165
BCBS OF GA
GA
01
—
895
STATE I.D
GA
Enumeration date
09/27/2006
Last updated
10/12/2012
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