Doctor Name: | DR. JAMES AUSTIN DENMARK |
NPI Number: | 1003908138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | POD000953 |
Business Practice Address: | 2260 Wrightsboro Rd Suite 154 Augusta, GA - 309044764 |
Business Phone Number: | 7063640263 |
Business Fax Number: | |
Mailing Address: | 2260 Wrightsboro Rd, Suite 154 AUGUSTA |
State: | GA |
Postal Code: | 309044764 |
Phone Number: | 7063640263 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | POD000953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |