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 --

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FAQs about Riverdale Foot, Ankle And Leg Clinic

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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