Organization
GEORGINA ASANTE, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DOROTHY ASANTE (ADMINISTRATOR)
(706) 576-6844
Entity
Organization
Contact information
Practice address
1900 10TH AVE STE 305, COLUMBUS, GA 31901-3611
(706) 576-6844
(706) 576-4779
Mailing address
1900 10TH AVE STE 305, COLUMBUS, GA 31901-3611
(706) 576-6844
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000628
GA
332B00000X
Durable Medical Equipment & Medical Supplies
000628
GA
332BC3200X
Customized Equipment (DME)
000628
GA
335E00000X
Prosthetic/Orthotic Supplier
000628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000452856C
—
GA
01
—
673506
BLUE CROSS BLUE SHIELD
GA
Enumeration date
08/18/2008
Last updated
05/17/2012
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