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Jerome Fredrick Poeppelman

Podiatrist

5405 Memorial Dr Bldg C
Stone Mountain , Georgia 30086

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Image

Jerome Fredrick Poeppelman

Podiatrist

5405 Memorial Dr Bldg C
Stone Mountain , Georgia 30086

(404) 294-5660

Write a Review Save Call

Jerome Fredrick Poeppelman

Podiatrist

5405 Memorial Dr Bldg C
Stone Mountain , Georgia 30086

(404) 294-5660 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist

Languages spoken

  • English

Location

5405 Memorial Dr Bldg C Stone Mountain , Georgia 30086

First Address

  • Jerome Fredrick Poeppelman
  • Po Box 922
  • Stone Mountain, GA
  • Zip : 30086
  • Phone : (404) 294-5660

Second Address

  • Jerome Fredrick Poeppelman
  • 5405 Memorial Dr Bldg C
  • Stone Mountain, GA
  • Zip : 30086
  • Phone : (404) 294-5660

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FAQs


Where did Jerome Fredrick Poeppelman attend graduate school?

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Where did Jerome Fredrick Poeppelman do his residency?

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Where did Jerome Fredrick Poeppelman do his fellowship?

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Is Jerome Fredrick Poeppelman board certified?

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What type of doctor is Jerome Fredrick Poeppelman

Podiatrist

In what state does Jerome Fredrick Poeppelman practice in?

Georgia

Where is Jerome Fredrick Poeppelman ’s practice located?

5405 Memorial Dr Bldg C , Stone Mountain, Georgia, 30086

What is Jerome Fredrick Poeppelman ’s gender?

Male

Is Jerome Fredrick Poeppelman a sole practitioner?

No

Is Jerome Fredrick Poeppelman accepting new patients?

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What languages does Jerome Fredrick Poeppelman speak?

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Does Jerome Fredrick Poeppelman accept insurance?

Yes, Jerome Fredrick Poeppelman accepts insurance

Does Jerome Fredrick Poeppelman offers telemedicine?

Jerome Fredrick Poeppelman has not indicated if he offers telemedicine

What is Jerome Fredrick Poeppelman ’s professional license number?

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What is Jerome Fredrick Poeppelman ’s NPI number?

1033287214

Does Jerome Fredrick Poeppelman have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213E00000X Podiatrist 343 GA
Y 222Z00000X Podiatrist 343 GA

National Provider Identifier

NPI 1033287214
Provider Name Jerome Fredrick Poeppelman
First Address Stone Mountain, GA 30086
Second Address Stone Mountain, GA 30086
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 04/12/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
T98075 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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