Dr. Tracy Smith Mayberry
Podiatrist Radiology Sports Medicine Foot Surgery and 2 more
1683 Washington Rd
East Point
, Georgia 30344-4265
Dr. Tracy Smith Mayberry
Podiatrist Radiology Sports Medicine Foot Surgery and 2 more
1683 Washington Rd
East Point
, Georgia 30344-4265
(404) 766-6450
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Radiology
- Sports Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Tracy Smith Mayberry
- 1683 Washington Road
- East Point, GA
- Zip : 30344-4265
- Fax : (404) 766-6450
- Phone : (404) 766-6400
Second Address
- Dr. Tracy Smith Mayberry
- 1683 Washington Rd
- East Point, GA
- Zip : 30344-4265
- Fax : (404) 766-6450
- Phone : (404) 766-6400
Reviews
FAQs
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What type of doctor is Dr. Tracy Smith Mayberry
In what state does Dr. Tracy Smith Mayberry practice in?
Where is Dr. Tracy Smith Mayberry ’s practice located?
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Is Dr. Tracy Smith Mayberry a sole practitioner?
Is Dr. Tracy Smith Mayberry accepting new patients?
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Does Dr. Tracy Smith Mayberry offers telemedicine?
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Does Dr. Tracy Smith Mayberry have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000763 | GA |
| Y | 222Z00000X | Podiatrist | 000763 | GA |
| N | 213EP1101X | Primary Podiatric Medicine | POD000763 | GA |
| N | 111NR0200X | Radiology | POD000763 | GA |
| N | 213ER0200X | Radiology | POD000763 | GA |
| N | 2081S0010X | Sports Medicine | POD000763 | GA |
| N | 213ES0000X | Sports Medicine | POD000763 | GA |
| N | 213ES0103X | Foot & Ankle Surgery | POD000763 | GA |
| N | 213ES0131X | Foot Surgery | POD000763 | GA |
National Provider Identifier
| NPI | 1497738413 |
|---|---|
| Provider Name | Dr. Tracy Smith Mayberry |
| First Address | East Point, GA 30344-4265 |
| Second Address | East Point, GA 30344-4265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/11/2005 |
| Last Update Date | 08/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000672119F | (05) | GA |
| 480028687 | RAILROAD MEDICARE (01) | GA |
| U57852 | (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.