John J Land Iv Pc is a Podiatrist in Dalton, Georgia. John J Land Iv Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for John J Land Iv Pc is 1356500573. The last update date is 2008-06-03.
John J Land Iv Pc's current location address is 1107 Broadrick Dr, Dalton, Georgia. You can contact this provider via phone number 7062785558 and fax number 7062786334. The mailing address for John J Land Iv Pc is 1107 Broadrick Dr, Dalton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John J Land Iv Pc |
|---|---|
| Address | 1107 Broadrick Dr, Dalton, Georgia |
| Phone Number | 7062785558 |
| Fax Number | 7062786334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Land J John |
| Credentials | DPM |
| Telephone Number | 7062785558 |
NPI Number Detail
| NPI Number | 1356500573 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 1107 Broadrick Dr |
|---|---|
| City | Dalton |
| State | Georgia (GA) |
| Post Code | 307202592 |
| Phone Number | 7062785558 |
| Fax Number | 7062786334 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | POD000679 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480027427 | GA | RAIL ROAD MEDICARE | |
| 1440694 | GA | UMWA | |
| 000828385A | GA | -- | |
| 3351905 | TN | MEDICARE | |
| 3124909 | TN | BLUE CROSS/ BLUE SHIELD | |
| 52432145 | GA | BLUE CROSS/ BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John J Land Iv Pc by the Centers for Medicare & Medicaid Services?
The John J Land Iv Pc has been assigned the NPI (National Provider Identifier) 1356500573 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where John J Land Iv Pc is physically located?
The John J Land Iv Pc is situated at the following address: 1107 Broadrick Dr, Dalton, GA 307202592.
What is John J Land Iv Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John J Land Iv Pc is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356500573 to John J Land Iv Pc?
The Centers for Medicare & Medicaid Services originally issued the 1356500573 to John J Land Iv Pc on 2008-06-03.
As of what date was the information regarding John J Land Iv Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John J Land Iv Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-03.
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