institution
Providence Foot & Ankle Centers, Pc Inc
Foot Surgery Podiatrist in Atlanta, Georgia
NPI 1437417722

Providence Foot & Ankle Centers, Pc Inc is a Foot Surgery Podiatrist based in Atlanta, GA and is specialized in Foot Surgery. Providence Foot & Ankle Centers, Pc Inc practices in Atlanta, GA. The NPI Number for Providence Foot & Ankle Centers, Pc Inc is 1437417722 and holds a License No. (Georgia).

The current practice location address for Providence Foot & Ankle Centers, Pc Inc is 4200 Northside Pkwy Nw, Atlanta, GA and can be reached out via phone at 770-745-4224 and via fax at 770-745-4228.

Location: 4200 Northside Pkwy Nw, Atlanta, GA, 30331-5511
institution
Provider Profile Details
NPI Number
1437417722
Provider Name
Providence Foot & Ankle Centers, Pc Inc
Credential
Provider Entity Type
Organization
Address
4200 Northside Pkwy Nw, Atlanta, GA, 30331-5511
Phone Number
770-745-4224
Fax Number
770-745-4228
Provider Enumeration Date
04/25/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DQ9092 01 GA RR MEDICARE GEORGIA GROUP PTAN
511G700902 01 GA MEDICARE GEORGIA GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
4200 Northside Pkwy Nw
City
State
Zip
30327-3054
Phone Number
770-745-4224
Fax Number
770-745-4228
person
Provider Business Mailing Address Details
Address
4200 Northside Pkwy Nw
City
State
Zip
30327-3054
Phone Number
770-745-4224
Fax Number
770-745-4228
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
()
Definition
Definition to come...
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