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Individual

DR. TAMMY KATHRYN GEPHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
6850 N DURANGO DR STE 216, LAS VEGAS, NV 89149-4597
(702) 851-7287
(702) 224-5653
Mailing address
11401 SNOW LEOPARD DR, LAS VEGAS, NV 89138-6211
(248) 819-1770

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
2062
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001122
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811291149
DMERC
GA
01
1841301256
BLUE CROSS BLUE SHIELD OF GA
GA
01
202I483324
MEDICARE OF GA
GA
01
273104170
HUMANA GROUP HEALTH PLANS
GA
01
6489180001
RAILROAD MEDICARE (AUGUSTA, GA)
GA
Enumeration date
08/31/2006
Last updated
11/01/2021
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