Organization
ASSOCIATED FOOT & ANKLE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD WAYNE NEWMAN JR. D.P.M. (PRESIDENT)
(770) 483-2291
Entity
Organization
Contact information
Practice address
1567 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012-3835
(770) 483-2291
(770) 483-2927
Mailing address
1567 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012-3835
(770) 483-2291
(770) 483-2927
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000702
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151680414523
HUMANA
—
05
—
300030892A
—
GA
01
—
480016118
RAILROAD MEDICARE
GA
Enumeration date
08/29/2007
Last updated
04/20/2008
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