person
Dr. Joseph Distefano, DPM
Foot & Ankle Surgery Podiatrist in Cartersville, Georgia
NPI 1013357383

Joseph Distefano is a Foot & Ankle Surgery Podiatrist based in Peachtree City, GA and is specialized in Foot & Ankle Surgery. Joseph Distefano practices in Cartersville, GA and has the professional credentials of DPM. The NPI Number for Joseph Distefano is 1013357383 and holds a License No. 01669 (Georgia).

The current practice location address for Joseph Distefano is 958 Joe Frank Harris Pkwy Se Bldg A106, Cartersville, GA and can be reached out via phone at 770-386-1389 and via fax at 770-386-4894.

Location: 958 Joe Frank Harris Pkwy Se Bldg A106, Cartersville, GA, 30269-4794
person
Provider Profile Details
NPI Number
1013357383
Provider Name
Joseph Distefano
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
958 Joe Frank Harris Pkwy Se Bldg A106, Cartersville, GA, 30269-4794
Phone Number
770-386-1389
Fax Number
770-386-4894
Provider Enumeration Date
07/01/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003258042C 05 GA
institution
Provider Business Practice Location Address Details
Address
958 Joe Frank Harris Pkwy Se Bldg A106
City
State
Zip
30120-2151
Phone Number
770-386-1389
Fax Number
770-386-4894
person
Provider Business Mailing Address Details
Address
958 Joe Frank Harris Pkwy Se Bldg A106
City
State
Zip
30120-2151
Phone Number
770-386-1389
Fax Number
770-386-4894
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
01669 (Maryland)
Definition
Definition to come...
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