Evan M Brody is a Podiatrist in Kennesaw, Georgia. Evan M Brody practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Evan M Brody is 1679548168. The last update date is 2022-07-21.
Evan M Brody's current location address is 5205 Stilesboro Rd Nw Ste 205, Kennesaw, Georgia. You can contact this provider via phone number 6783100540 and fax number 6783100538. The mailing address for Evan M Brody is 5205 Stilesboro Rd Nw Ste 205, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evan M Brody |
|---|---|
| Address | 5205 Stilesboro Rd Nw Ste 205, Kennesaw, Georgia |
| Phone Number | 6783100540 |
| Fax Number | 6783100538 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1679548168 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 5205 Stilesboro Rd Nw Ste 205 |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 301527765 |
| Phone Number | 6783100540 |
| Fax Number | 6783100538 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | POD000937 |
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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 |
|---|---|---|---|
| 581994261 | GA | FIRST HEALTH | |
| 2700264 | GA | UNITED HEALTHCARE | |
| 581994261 | GA | ASSURANT HEALTH | |
| 1400101 | GA | GHI | |
| 457858901A | GA | -- | |
| 10055122 | GA | AMERIGROUP - MEDICAID | |
| 581994261 | GA | HUMANA | |
| 3262431 | GA | AETNA | |
| 6241458 | GA | CIGNA | |
| 2701694 | GA | EVERCARE |
Post Comment/ Review Below
What is the Evan M Brody's unique identification number?
The Evan M Brody has been assigned the NPI (National Provider Identifier) Number 1679548168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Evan M Brody is physically located?
The Evan M Brody is physically situated at the following address: 5205 Stilesboro Rd Nw Ste 205, Kennesaw, GA, 301527765.
What is Evan M Brody's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evan M Brody's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date was the 1679548168 assigned to Evan M Brody?
The Evan M Brody was issued its 1679548168 on 2006-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Evan M Brody's information last updated?
The Evan M Brody's information was last updated on 2022-07-21.