Mr. Roger Peter Theodore is a Macon, Georgia based male podiatrist who is specialized in Podiatry. Active license number of Mr. Roger Peter Theodore for Podiatry is 000753 in Georgia. Mr. Roger Peter Theodore is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Roger Peter Theodore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
841 Mulberry St, Macon, Georgia, 31201
Phone:
478-741-1192
Fax:
478-741-0029
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1154398402
NPI Enumeration Date:
07 Mar, 2006
NPI Last Update On:
27 May, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Roger Peter Theodore are as mentioned below.
License Number
Specialization
State
Status
000753
Podiatry
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Roger Peter Theodore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
480018494
Other
RAILROAD MEDICARE
00655322A
Medicaid
Georgia
480025693
Other
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
841 Mulberry St, Macon, Georgia
Zip:
31201
Phone Number:
478-741-1192
Fax Number:
478-741-0029
Patients can reach Mr. Roger Peter Theodore at 841 Mulberry St, Macon, Georgia or can call to book an appointment on 478-741-1192. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.