Provider Demographics
NPI:1427540699
Name:VILLAGE PODIATRY GROUP II, LLC.
Entity type:Organization
Organization Name:VILLAGE PODIATRY GROUP II, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:HELFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:678-426-2171
Mailing Address - Street 1:PO BOX 108
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-0003
Mailing Address - Country:US
Mailing Address - Phone:678-426-2171
Mailing Address - Fax:615-269-3087
Practice Address - Street 1:2045 PEACHTREE ROAD NE
Practice Address - Street 2:SUITE 810
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1412
Practice Address - Country:US
Practice Address - Phone:404-446-1890
Practice Address - Fax:404-446-1898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty