DR. Roger Peter Theodore, DPM

NPI #1154398402 in Macon, Georgia

Provider Information

NPI Number: 1154398402
Entity Type: Individual
Name: DR. Roger Peter Theodore, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Mar 7, 2006
Last Updated: Aug 22, 2024

Practice Location

Address: 407 BARRINGTON PT
City: Macon
State: Georgia
ZIP Code: 31220-8754
Phone: (478) 390-2178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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