Jimmy L. Gregory Dpm, Inc in Decatur - Foot Surgery

Jimmy L. Gregory Dpm, Inc - NPI 1578773750

Jimmy L. Gregory Dpm, Inc is a Foot Surgery in Decatur, Georgia. Jimmy L. Gregory Dpm, Inc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Jimmy L. Gregory Dpm, Inc is 1578773750. The last update date is 2009-09-22.

Jimmy L. Gregory Dpm, Inc's current location address is 3546 Covington Hwy, Decatur, Georgia. You can contact this provider via phone number 4042847744 and fax number 4042848006. The mailing address for Jimmy L. Gregory Dpm, Inc is 3546 Covington Hwy, Decatur, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jimmy L. Gregory Dpm, Inc
Address 3546 Covington Hwy, Decatur, Georgia
Phone Number 4042847744
Fax Number 4042848006
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Love Veronica
Telephone Number 4042847744

NPI Number Detail

NPI Number 1578773750
Provider Enumeration Date 2007-05-23
Last Updated Date 2009-09-22

Provider Mailing Address Detail

Address 3546 Covington Hwy
City Decatur
State Georgia (GA)
Post Code 300321823
Phone Number 4042847744
Fax Number 4042848006

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 598
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GRP6110 GA MEDICARE PART B
DC7572 GA MEDICARE RAILROAD

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FAQs about Jimmy L. Gregory Dpm, Inc

What is the unique 10-digit identifier code issued to Jimmy L. Gregory Dpm, Inc by the Centers for Medicare & Medicaid Services?

The Jimmy L. Gregory Dpm, Inc has been assigned the NPI (National Provider Identifier) 1578773750 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jimmy L. Gregory Dpm, Inc is geographically located?

The Jimmy L. Gregory Dpm, Inc is physically situated at the following location: 3546 Covington Hwy, Decatur, GA, 300321823.

What is Jimmy L. Gregory Dpm, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jimmy L. Gregory Dpm, Inc is Foot Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0131X.

On what date did Jimmy L. Gregory Dpm, Inc receive its 1578773750 assignment from the Centers for Medicare & Medicaid Services?

The Jimmy L. Gregory Dpm, Inc was assigned its 1578773750 on 2007-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jimmy L. Gregory Dpm, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jimmy L. Gregory Dpm, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-22.

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