Dr. Mary L Ottinger
Radiology Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
1515 Laney Walker Blvd
Augusta
, Georgia 30904-5827
Dr. Mary L Ottinger
Radiology Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
1515 Laney Walker Blvd
Augusta
, Georgia 30904-5827
(706) 724-4468
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About
Features
Specialties
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Mary L Ottinger
- 1515 Laney Walker Blvd
- Augusta, GA
- Zip : 30904-5827
- Fax : (706) 724-4468
- Phone : (706) 724-0586
Second Address
- Dr. Mary L Ottinger
- 1515 Laney Walker Blvd
- Augusta, GA
- Zip : 30904-5827
- Fax : (706) 724-4468
- Phone : (706) 724-0586
Reviews
FAQs
Where did Dr. Mary L Ottinger attend graduate school?
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Is Dr. Mary L Ottinger a sole practitioner?
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Does Dr. Mary L Ottinger have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | GA520 | GA |
| N | 111NR0200X | Radiology | GA520 | GA |
| N | 213ER0200X | Radiology | GA520 | GA |
| N | 2081S0010X | Sports Medicine | GA520 | GA |
| N | 213ES0000X | Sports Medicine | GA520 | GA |
| N | 213ES0103X | Foot & Ankle Surgery | GA520 | GA |
National Provider Identifier
| NPI | 1821149782 |
|---|---|
| Provider Name | Dr. Mary L Ottinger |
| First Address | Augusta, GA 30904-5827 |
| Second Address | Augusta, GA 30904-5827 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 25/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000314278C | (05) | GA |
| GA520 | STATE LICENSE NUMBER (01) | GA |
| GPO520 | (05) | SC |
| T97767 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.