Ottinger, Mary L

Ottinger, Mary L is an individual health care provider with primary practice located at 1515 Laney Walker Blvd , Augusta GA 30904-5827. She recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Ottinger, Mary L can be contacted via phone (706) 724-0586.

Contact Information

Primary practice address
1515 Laney Walker Blvd Augusta GA 30904-5827
Phone: (706) 724-0586
Fax: (706) 724-4468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X GA520 Georgia
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X GA520 Georgia
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X GA520 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X GA520 Georgia

Profile Details

NPI number 1821149782
LBN Legal business name Ottinger, Mary L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821149782 NPPES
South Carolina MEDICAID GPO520
South Carolina Other GA520
South Carolina MEDICAID 000314278C

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