Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | POD000724 | GA |
Y | 222Z00000X | Podiatrist | POD000724 | GA |
NPI | 1043382369 |
---|---|
Provider Name | Joseph F Deboskey |
First Address | Toccoa, GA 30577 |
Second Address | Toccoa, GA 30577 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 14/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00629197B | (05) | GA |
480033316 | RAILROAD MCARE (01) | |
553931 | BCBS (01) | |
U50053 | (02) |