Steven Blakely Georgian
Podiatrist, Foot & Ankle Surgery in Lucedale, MS. Individual provider (NPI-1).
NPI number1699237461
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1699237461
- Entity type
- Individual (NPI-1)
- Name
- Steven Blakely Georgian
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 80244 | MS | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
872 Winter StLucedale, MS 39452-5797
Phone 601-673-4625 · Fax 601-673-4627
Mailing address
Po Box 1007Lucedale, MS 39452-1007
Phone 601-673-4625 · Fax 601-673-4627
Other practice locations
Allegheny General Hospital, 320 East North Avenue
Pittsburgh, PA 15212
Pittsburgh, PA 15212
Phone 412-688-7578
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