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Mr. Roger Peter Theodore, DPM
Podiatrist in Macon, Georgia
NPI 1154398402

Roger Peter Theodore is a Podiatrist based in Macon, GA. Roger Peter Theodore practices in Macon, GA and has the professional credentials of DPM. The NPI Number for Roger Peter Theodore is 1154398402 and holds a License No. 000753 (Georgia).

The current practice location address for Roger Peter Theodore is 841 Mulberry St, Macon, GA and can be reached out via phone at 478-741-1192 and via fax at 478-741-0029. You can also correspond with Roger Peter Theodore through the mailing address at 841 MULBERRY ST, MACON, GA - 31201 (mailing address contact number: 478-741-1192).

Location: 841 Mulberry St, Macon, GA, 31201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154398402
Provider Name
Roger Peter Theodore
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
841 Mulberry St, Macon, GA, 31201
Phone Number
478-741-1192
Fax Number
478-741-0029
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480018494 01 RAILROAD MEDICARE
00655322A 05 GA
480025693 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
841 Mulberry St
City
Macon
State
Georgia
Zip
31201
Phone Number
478-741-1192
Fax Number
478-741-0029
person
Provider Business Mailing Address Details
Address
841 Mulberry St
City
Macon
State
Georgia
Zip
31201
Phone Number
478-741-1192
Fax Number
478-741-0029
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
000753 (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.
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