Riverdale Foot, Ankle And Leg Clinic in Riverdale - Foot & Ankle Surgery
Riverdale Foot, Ankle And Leg Clinic - NPI 1699958421
Riverdale Foot, Ankle And Leg Clinic is a Foot & Ankle Surgery in Riverdale, Georgia. Riverdale Foot, Ankle And Leg Clinic practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Riverdale Foot, Ankle And Leg Clinic is 1699958421. The last update date is 2009-01-08.
Riverdale Foot, Ankle And Leg Clinic's current location address is 6567 Professional Pl, Riverdale, Georgia. You can contact this provider via phone number 7709973668 and fax number 7709973470. The mailing address for Riverdale Foot, Ankle And Leg Clinic is 6567 Professional Pl, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Riverdale Foot, Ankle And Leg Clinic |
---|---|
Address | 6567 Professional Pl, Riverdale, Georgia |
Phone Number | 7709973668 |
Fax Number | 7709973470 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
---|---|
Authorized Official Name | Dickerson Lee Terry |
Credentials | DPM |
Telephone Number | 7709973668 |
NPI Number Detail
NPI Number | 1699958421 |
---|---|
Provider Enumeration Date | 2007-12-15 |
Last Updated Date | 2009-01-08 |
Provider Mailing Address Detail
Address | 6567 Professional Pl |
---|---|
City | Riverdale |
State | Georgia (GA) |
Post Code | 302742519 |
Phone Number | 7709973668 |
Fax Number | 7709973470 |
Provider's Primary Taxonomy Detail
Speciality | Foot & Ankle Surgery |
---|---|
Taxonomy | 213Es0103X |
Licence No | 890 |
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7302184 | GA | AETNA | |
52811908 | GA | BLUE CROSS BLUE SHIELD | |
00869679E | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Riverdale Foot, Ankle And Leg Clinic by the Centers for Medicare & Medicaid Services?
The Riverdale Foot, Ankle And Leg Clinic has been assigned the NPI (National Provider Identifier) 1699958421 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Riverdale Foot, Ankle And Leg Clinic?
The Riverdale Foot, Ankle And Leg Clinic is physically situated at 6567 Professional Pl, in the city of Riverdale, state of GA, with the postal code 302742519.
What is the area of specialization for Riverdale Foot, Ankle And Leg Clinic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Riverdale Foot, Ankle And Leg Clinic is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0103X.
On what date was the 1699958421 assigned to Riverdale Foot, Ankle And Leg Clinic?
The Riverdale Foot, Ankle And Leg Clinic was issued its 1699958421 on 2007-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Riverdale Foot, Ankle And Leg Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Riverdale Foot, Ankle And Leg Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-01-08.
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