Individual
JANAKI NADARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
462 FURYS FERRY RD, MARTINEZ, GA 30907-9506
(706) 868-0319
(706) 868-3719
Mailing address
462 FURYS FERRY RD, MARTINEZ, GA 30907-9506
(706) 868-0319
(706) 868-3719
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000941
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000935261D
—
GA
01
—
339452
WELLCARE
GA
05
—
GPD941
—
SC
Enumeration date
10/12/2006
Last updated
03/20/2015
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