person
Dr. Mary L Ottinger, DPM
Foot & Ankle Surgery Podiatrist in Augusta, Georgia
NPI 1821149782

Mary L Ottinger is a Foot & Ankle Surgery Podiatrist based in Augusta, GA and is specialized in Foot & Ankle Surgery. Mary L Ottinger practices in Augusta, GA and has the professional credentials of DPM. The NPI Number for Mary L Ottinger is 1821149782 and holds a License No. GA520 (Georgia).

The current practice location address for Mary L Ottinger is 1515 Laney Walker Blvd, Augusta, GA and can be reached out via phone at 706-724-0586 and via fax at 706-724-4468.

Location: 1515 Laney Walker Blvd, Augusta, GA, 30904-5827
person
Provider Profile Details
NPI Number
1821149782
Provider Name
Mary L Ottinger
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1515 Laney Walker Blvd, Augusta, GA, 30904-5827
Phone Number
706-724-0586
Fax Number
706-724-4468
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GPO520 05 SC
GA520 01 GA STATE LICENSE NUMBER
000314278C 05 GA
institution
Provider Business Practice Location Address Details
Address
1515 Laney Walker Blvd
City
State
Zip
30904-5827
Phone Number
706-724-0586
Fax Number
706-724-4468
person
Provider Business Mailing Address Details
Address
1515 Laney Walker Blvd
City
State
Zip
30904-5827
Phone Number
706-724-0586
Fax Number
706-724-4468
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
GA520 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
License No.
GA520 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
GA520 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
GA520 (Georgia)
Definition
Definition to come...
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