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George S Tellam
Podiatrist in St Augustine, Florida
NPI 1154793339

George S Tellam is a Podiatrist based in Orange Park, FL. George S Tellam practices in St Augustine, FL. The NPI Number for George S Tellam is 1154793339 and holds a License No. PO 1636 (Florida).

The current practice location address for George S Tellam is 309 Kingsley Lake Dr, St Augustine, FL and can be reached out via phone at 904-269-9595 and via fax at 904-264-5211.

Location: 309 Kingsley Lake Dr, St Augustine, FL, 32073-4742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154793339
Provider Name
George S Tellam
Credential
Provider Entity Type
Organization
Address
309 Kingsley Lake Dr, St Augustine, FL, 32073-4742
Phone Number
904-269-9595
Fax Number
904-264-5211
Provider Enumeration Date
10/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1750319026 01 FL INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
309 Kingsley Lake Dr
City
St Augustine
State
Florida
Zip
32092-3047
Phone Number
904-269-9595
Fax Number
904-264-5211
person
Provider Business Mailing Address Details
Address
309 Kingsley Lake Dr
City
St Augustine
State
Florida
Zip
32092-3047
Phone Number
904-269-9595
Fax Number
904-264-5211
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
PO 1636 (Florida)
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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