Evetta Lavern Borden
Foot Surgery
500 E Oglethorpe Hwy
Hinesville
, Georgia 31313-2804
Evetta Lavern Borden
Foot Surgery
500 E Oglethorpe Hwy
Hinesville
, Georgia 31313-2804
(912) 408-2900
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Evetta Lavern Borden
- 500 E Oglethorpe Hwy
- Hinesville, GA
- Zip : 31313-2804
- Phone : (912) 408-2900
Second Address
- Evetta Lavern Borden
- 500 E Oglethorpe Hwy
- Hinesville, GA
- Zip : 31313-2804
- Phone : (912) 408-2900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | POD000770 | GA |
National Provider Identifier
| NPI | 1215946702 |
|---|---|
| Provider Name | Evetta Lavern Borden |
| First Address | Hinesville, GA 31313-2804 |
| Second Address | Hinesville, GA 31313-2804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 06/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00719804B | (05) | GA |
| T21692 | (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.