Individual provider · Type 1 NPI

Norman I. Kornblatt, D.P.M

Foot & Ankle Surgery Podiatrist · Douglasville, GA

NPI number 1194728048 Active

Practice location

3666 Highway 5, Ste 101
Douglasville, GA 30135-6940

Fax (770) 920-9675

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X553 (GA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1194728048

Norman I. Kornblatt, D.P.M's National Provider Identifier is 1194728048, issued on May 24, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Douglasville, GA. The record was last updated on Oct 14, 2008.