Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PR 324 | FL |
N | 222Z00000X | Podiatrist | PR 324 | FL |
Y | 213ES0131X | Foot Surgery | POD001299 | GA |
NPI | 1144668666 |
---|---|
Provider Name | Gemma P English |
First Address | Braselton, GA 30517-5605 |
Second Address | Braselton, GA 30517-5605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2013 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003199928B | (05) | GA |