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Kibibi Wanzu
Foot & Ankle Surgery Podiatrist in Mcdonough, Georgia
NPI 1043689623

Kibibi Wanzu is a Foot & Ankle Surgery Podiatrist based in Mcdonough, GA and is specialized in Foot & Ankle Surgery. Kibibi Wanzu practices in Mcdonough, GA. The NPI Number for Kibibi Wanzu is 1043689623 and holds a License No. POD001378 (Georgia).

The current practice location address for Kibibi Wanzu is 366 Racetrack Rd, Mcdonough, GA and can be reached out via phone at 470-781-5585 and via fax at 470-781-5586.

Location: 366 Racetrack Rd, Mcdonough, GA, 30252-1022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043689623
Provider Name
Kibibi Wanzu
Credential
Provider Entity Type
Individual
Gender
Female
Address
366 Racetrack Rd, Mcdonough, GA, 30252-1022
Phone Number
470-781-5585
Fax Number
470-781-5586
Provider Enumeration Date
09/24/2015
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14312441 01 GA CAQH
003207314G 05 GA
003207314 05 GA
institution
Provider Business Practice Location Address Details
Address
366 Racetrack Rd
City
Mcdonough
State
Georgia
Zip
30252-1022
Phone Number
470-781-5585
Fax Number
470-781-5586
person
Provider Business Mailing Address Details
Address
366 Racetrack Rd
City
Mcdonough
State
Georgia
Zip
30252-1022
Phone Number
470-781-5585
Fax Number
470-781-5586
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
POD001378 (Georgia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
POD001378 (Georgia)
Definition
Definition to come...
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