Provider Demographics
NPI:1578602900
Name:GUMANN, GEORGE S JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:S
Last Name:GUMANN
Suffix:JR
Gender:M
Credentials:DPM
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Mailing Address - Street 1:6526 BILLINGS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-4446
Mailing Address - Country:US
Mailing Address - Phone:706-568-4648
Mailing Address - Fax:
Practice Address - Street 1:4200 MARTIN LOOP
Practice Address - Street 2:MARTIN ARMY HOSPITAL
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905
Practice Address - Country:US
Practice Address - Phone:706-544-3278
Practice Address - Fax:706-544-2022
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA479213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery