person
Steven Blakely Georgian
Foot & Ankle Surgery Podiatrist in Lucedale, Mississippi
NPI 1699237461

Steven Blakely Georgian is a Foot & Ankle Surgery Podiatrist based in Lucedale, MS and is specialized in Foot & Ankle Surgery. Steven Blakely Georgian practices in Lucedale, MS. The NPI Number for Steven Blakely Georgian is 1699237461 and holds a License No. (Mississippi).

The current practice location address for Steven Blakely Georgian is 872 Winter St, Lucedale, MS and can be reached out via phone at 601-673-4625 and via fax at 601-673-4627.

Location: 872 Winter St, Lucedale, MS, 39452-1007
person
Provider Profile Details
NPI Number
1699237461
Provider Name
Steven Blakely Georgian
Credential
Provider Entity Type
Individual
Gender
Male
Address
872 Winter St, Lucedale, MS, 39452-1007
Phone Number
601-673-4625
Fax Number
601-673-4627
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
872 Winter St
City
State
Zip
39452-5797
Phone Number
601-673-4625
Fax Number
601-673-4627
person
Provider Business Mailing Address Details
Address
872 Winter St
City
State
Zip
39452-5797
Phone Number
601-673-4625
Fax Number
601-673-4627
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
80244 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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