Grace Ivie Ejaife-Austin in Warner Robins - Podiatrist
Grace Ivie Ejaife-Austin - NPI 1588857304
Grace Ivie Ejaife-Austin is a Podiatrist in Warner Robins, Georgia. Grace Ivie Ejaife-Austin practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Grace Ivie Ejaife-Austin is 1588857304. The last update date is 2007-09-11.
Grace Ivie Ejaife-Austin's current location address is 1043 N Houston Rd, Warner Robins, Georgia. You can contact this provider via phone number 4783286466 and fax number 4783281338. The mailing address for Grace Ivie Ejaife-Austin is 1043 N Houston Rd, Warner Robins, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Ivie Ejaife-Austin |
|---|---|
| Address | 1043 N Houston Rd, Warner Robins, Georgia |
| Phone Number | 4783286466 |
| Fax Number | 4783281338 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1588857304 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 1043 N Houston Rd |
|---|---|
| City | Warner Robins |
| State | Georgia (GA) |
| Post Code | 310931505 |
| Phone Number | 4783286466 |
| Fax Number | 4783281338 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | POD001084 |
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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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What is the unique 10-digit identifier code issued to Grace Ivie Ejaife-Austin by the Centers for Medicare & Medicaid Services?
The Grace Ivie Ejaife-Austin has been assigned the NPI (National Provider Identifier) 1588857304 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Grace Ivie Ejaife-Austin?
The Grace Ivie Ejaife-Austin is situated at 1043 N Houston Rd, in the city of Warner Robins, state of GA, with the zip code 310931505.
What is Grace Ivie Ejaife-Austin's area of expertise and its corresponding taxonomy classification?
The Grace Ivie Ejaife-Austin's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
When did Grace Ivie Ejaife-Austin receive its 1588857304 assignment?
The Grace Ivie Ejaife-Austin was assigned its 1588857304 on 2007-08-24, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Grace Ivie Ejaife-Austin most recently updated or revised?
The information pertaining to Grace Ivie Ejaife-Austin, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-11.