Tyrone Podiatry

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

POD001045 Issued in GA

Legal business name

TYRONE PODIATRY

Practice address

1129 Senoia Rd
Tyrone, GA 30290-1625

Phone

(770) 774-2837

NPI assigned

Jul 13, 2006

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carmen McDonald Ashman, MD.,DPM

Title

Ceo

Phone

(770) 774-2837

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1578588265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302900908",
            "telephone_number": "770-774-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 SENOIA RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901625",
            "telephone_number": "770-774-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRONE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "ASHMAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-774-2837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.,DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "GA",
            "license": "POD001045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Podiatric Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.