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John J Land Iv Pc
Podiatrist in Dalton, Georgia
NPI 1356500573

John J Land Iv Pc is a Podiatrist based in Dalton, GA. John J Land Iv Pc practices in Dalton, GA. The NPI Number for John J Land Iv Pc is 1356500573 and holds a License No. POD000679 (Georgia).

The current practice location address for John J Land Iv Pc is 1107 Broadrick Dr, Dalton, GA and can be reached out via phone at 706-278-5558 and via fax at 706-278-6334.

Location: 1107 Broadrick Dr, Dalton, GA, 30720-2592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356500573
Provider Name
John J Land Iv Pc
Credential
Provider Entity Type
Organization
Address
1107 Broadrick Dr, Dalton, GA, 30720-2592
Phone Number
706-278-5558
Fax Number
706-278-6334
Provider Enumeration Date
06/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480027427 01 GA RAIL ROAD MEDICARE
1440694 01 GA UMWA
000828385A 05 GA
3351905 01 TN MEDICARE
3124909 01 TN BLUE CROSS/ BLUE SHIELD
52432145 01 GA BLUE CROSS/ BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1107 Broadrick Dr
City
Dalton
State
Georgia
Zip
30720-2592
Phone Number
706-278-5558
Fax Number
706-278-6334
person
Provider Business Mailing Address Details
Address
1107 Broadrick Dr
City
Dalton
State
Georgia
Zip
30720-2592
Phone Number
706-278-5558
Fax Number
706-278-6334
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
POD000679 (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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