CHARLES JEFFREY SIDLOW


Address: 958 Joe Frank Harris Pkwy Se Bldg A, Suite 106, Cartersville, GA 30120-2175
Phone: 7703861389

CHARLES JEFFREY SIDLOW (NPI# 1033179270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033179270
Entity Type Individual
Full Name CHARLES JEFFREY SIDLOW
Credential D.P.M.
Practice Address 958 Joe Frank Harris Pkwy Se Bldg A
Suite 106
Cartersville
GA 30120-2175
Practice Telephone 7703861389
Practice Fax Number 7703864894
Mailing Telephone 7703861389
Mailing Fax Number 7703864894
Enumeration Date 2006-03-23
Last Update Date 2012-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
POD000560 GA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 000333803A 05

Office Location

Street Address 958 JOE FRANK HARRIS PKWY SE BLDG A
SUITE 106
City CARTERSVILLE
State GA
Zip Code 30120-2175

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578862421 Renee Clarke-hall Nurse Practitioner 958 Joe Frank Harris Pkwy Se Bldg A, Sute 101, Cartersville, GA 30120-2175 2011-03-17
1740580018 Ashley Nicole Saint Advanced Practice Midwife 958 Joe Frank Harris Pkwy Se Bldg A, Building 2 Suite 102, Cartersville, GA 30120-2175 2010-11-02
1316276512 Women's Surgical Center Clinic/Center 958 Joe Frank Harris Pkwy Se Bldg A, Suite 107, Cartersville, GA 30120-2175 2009-12-17
1952504201 Harbin Clinic, LLC Durable Medical Equipment & Medical Supplies 958 Joe Frank Harris Pkwy Se Bldg A, Suite 101, Cartersville, GA 30120-2151 2007-06-06
1063539849 Paul Richard Boecler Dentist 958 Joe Frank Harris Pkwy Se Bldg A, Suite 104, Cartersville, GA 30120-2151 2007-03-25
1790845030 Suzanne Alsayed Internal Medicine 958 Joe Frank Harris Pkwy Se Bldg A, Suite 101, Cartersville, GA 30120-2151 2006-12-09
1962415059 Hugo D Ribot Jr. Obstetrics & Gynecology 958 Joe Frank Harris Pkwy Se Bldg A, Suite 102, Cartersville, GA 30120-2151 2006-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295357325 Rhonda Ireland Pharmacist 125 Main Street Marketplace, Cartersville, GA 30120 2020-05-12
1538719273 The Golden Ages Corporoation Nursing Care 41 Walden Crossing, Cartrsville, GA 30120 2019-09-15
1932752391 Jennifer Elaine Mclaurin Counselor 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 2019-07-24
1164989497 Kayla Elizabeth Hoskins Occupational Therapist 7 E Cherokee Ave, Cartersville, GA 30120 2019-02-22
1942785837 Adriane L Alexander Social Worker 24 Meadowbridge Drive, Cartersville, GA 30120 2018-09-26
1306329362 Ashley Elizabeth Deal Nurse Practitioner 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 2018-09-14
1376037606 Samuel Gilreath Tumlin Dentist 701 N. Tennessee St., Cartersville, GA 30120 2018-06-20
1437669108 Deborah Susan Luper Counselor 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 2017-10-06
1750810693 Debbie Fearon Registered Nurse 523 Mountain Chase, Cartersville, GA 30120 2017-06-05
1023486388 Amanda Stanley Pharmacist 1150 West Ave, Cartersville, GA 30120 2015-09-03
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033741632 Serenity Podiatry and Med Spa LLC Podiatrist 770 Old Roswell Pl Ste A300, Roswell, GA 30076-1697 2020-02-11
1275914749 Nrup Tolat Podiatrist 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 2015-06-10
1396088803 Jae Y Shin Podiatrist 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 2013-04-03
1598010720 Swga Foot & Ankle Center Podiatrist 415 E 4th Ave Ste B, Cordele, GA 31015-0614 2012-07-13
1548524937 Swga Foot & Ankle Center Podiatrist 922 E Jefferson St Ste D, Americus, GA 31709-4781 2012-06-29
1952667305 Agape Foot & Ankle Clinic, LLC Podiatrist 3693 Wittenburg Ct, Decatur, GA 30034-5507 2012-04-10
1275780199 Azuka Ifeyinwa Nwaedozie Podiatrist 3364 Medina Dr, Jonesboro, GA 30236-6873 2008-08-21
1386804045 Howard Foot&leg Specialists,pc. Podiatrist 12476 Hopewell Rd, Alpharetta, GA 30004-1347 2008-06-16
1053506162 Diabetic Foot Care Specialist of Georgia Podiatrist 238 Walker St Sw, Unit #12, Atlanta, GA 30313-1266 2007-09-11
1356549141 Dwayne Lay Podiatrist 210 Oakside Ln Ste B, Canton, GA 30114-6417 2007-07-03
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Competitor

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City CARTERSVILLE
Zip Code 30120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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