Provider Demographics
NPI:1043382369
Name:DEBOSKEY, JOSEPH F (DPM)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:F
Last Name:DEBOSKEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1266
Mailing Address - Street 2:TRI COUNTY PODIATRY LLC
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577
Mailing Address - Country:US
Mailing Address - Phone:706-282-5092
Mailing Address - Fax:706-282-5095
Practice Address - Street 1:6392 SOUTH BIG A RD
Practice Address - Street 2:TRI COUNTY PODIATRY LLC
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577
Practice Address - Country:US
Practice Address - Phone:706-282-5092
Practice Address - Fax:706-282-5095
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD000724213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00629197BMedicaid
480033316OtherRAILROAD MCARE
553931OtherBCBS
553931OtherBCBS
48SCCJBMedicare ID - Type Unspecified