Organization · Type 2 NPI

George S Tellam

Podiatrist · St. Augustine, FL

NPI number 1154793339 Active

Practice location

309 Kingsley Lake Dr, # 901
St. Augustine, FL 32092-3047

Call (904) 269-9595 Map

Fax (904) 264-5211

Mailing address

981 Kingsley Ave
Orange Park, FL 32073-4742

Specialties and licenses

Taxonomy	Code	License
Podiatrist Primary	213E00000X	PO 1636 (FL)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2 other providers at this address

Other podiatrist providers in St. Augustine

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NPI record

NPI: 1154793339
Entity type: Organization (Type 2)
Issued: Oct 27, 2015
Last updated: Jul 29, 2020
Status: Active

Other names

<unavail>
Ankle & Foot Associates · doing business as
Ankle & Foot Associates · doing business as

Authorized official

George Sawday Tellam, DPM
Owner/podiatrist
(904) 269-9595

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154793339

George S Tellam's National Provider Identifier is 1154793339, issued on Oct 27, 2015. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 29, 2020.