Provider Demographics
NPI:1225084049
Name:FOOTE, JOHN H (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:H
Last Name:FOOTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:970 WOODSTOCK PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-4868
Mailing Address - Country:US
Mailing Address - Phone:678-388-5750
Mailing Address - Fax:678-388-5785
Practice Address - Street 1:970 WOODSTOCK PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188
Practice Address - Country:US
Practice Address - Phone:678-388-5750
Practice Address - Fax:678-388-5785
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2014-02-17
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Provider Licenses
StateLicense IDTaxonomies
GA049381207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA49381OtherGA LICENSE
08CBBPDMedicare UPIN