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Organization

VILLAGE PODIATRY GROUP, LLC.

Active
Parent organization
EXTREMITY HEALTHCARE, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
EXTREMITY HEALTHCARE, INC.
Authorized official
DAVID N. HELFMAN DPM (CEO)
(770) 384-0284
Entity
Organization

Contact information

Practice address
500 MEDICAL CENTER BLVD, SUITE 100, LAWRENCEVILLE, GA 30046-8708
(770) 822-2166
(770) 237-2934
Mailing address
900 CIRCLE 75 PKWY., STE. 900, ATLANTA, GA 30339-3084
(770) 384-0284
(770) 432-7638

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CL1536
RAILROAD MEDICARE GRP NBR
GA
Enumeration date
10/02/2006
Last updated
11/28/2011
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