Organization · Type 2 NPI

Northeast Georgia Podiatry LLC

Foot & Ankle Surgery Podiatrist · Gainesville, GA

NPI number 1225575855 Active

Practice location

590 S Enota Dr NE Ste 1A
Gainesville, GA 30501-2433

Other practice locations

  • 600 Garnett St Ste 7, Buford, GA 30518-3200 · (470) 202-8004

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD001208 (GA)

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

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About NPI 1225575855

Northeast Georgia Podiatry LLC's National Provider Identifier is 1225575855, issued on Jan 20, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Gainesville, GA. The record was last updated on Dec 12, 2025.