Mr. Fonco Howard
Primary Podiatric Medicine
2579 Chamblee Tucker Rd
Chamblee
, Georgia 30341-3515
Mr. Fonco Howard
Primary Podiatric Medicine
2579 Chamblee Tucker Rd
Chamblee
, Georgia 30341-3515
(770) 452-8303
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Mr. Fonco Howard
- 12476 Hopewell Rd
- Alpharetta, GA
- Zip : 30004-1347
- Fax : (770) 452-8303
- Phone : (770) 452-9600
Second Address
- Mr. Fonco Howard
- 2579 Chamblee Tucker Rd
- Chamblee, GA
- Zip : 30341-3515
- Fax : (770) 452-8303
- Phone : (770) 452-9600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | POD000769 | GA |
National Provider Identifier
| NPI | 1215960513 |
|---|---|
| Provider Name | Mr. Fonco Howard |
| First Address | Alpharetta, GA 30004-1347 |
| Second Address | Chamblee, GA 30341-3515 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000691347C | (05) | GA |
| U60464 | (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.