Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 25MD00349500 | NJ |
N | 222Z00000X | Podiatrist | 25MD00349500 | NJ |
Y | 213E00000X | Podiatrist | POD001430 | GA |
Y | 222Z00000X | Podiatrist | POD001430 | GA |
N | 213ES0131X | Foot Surgery | 25MD00349500 | NJ |
N | 213ES0131X | Foot Surgery | POD001430 | GA |
NPI | 1356704597 |
---|---|
Provider Name | Dr. Machli Adrien |
First Address | Augusta, GA 30912-0004 |
Second Address | Augusta, GA 30912-3808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 30/07/2019 |