institution
Riverdale Foot, Ankle And Leg Clinic
Foot & Ankle Surgery Podiatrist in Riverdale, Georgia
NPI 1699958421

Riverdale Foot, Ankle And Leg Clinic is a Foot & Ankle Surgery Podiatrist based in Riverdale, GA and is specialized in Foot & Ankle Surgery. Riverdale Foot, Ankle And Leg Clinic practices in Riverdale, GA. The NPI Number for Riverdale Foot, Ankle And Leg Clinic is 1699958421 and holds a License No. 000890 (Georgia).

The current practice location address for Riverdale Foot, Ankle And Leg Clinic is 6567 Professional Pl, Riverdale, GA and can be reached out via phone at 770-997-3668 and via fax at 770-997-3470.

Location: 6567 Professional Pl, Riverdale, GA, 30274-2519
institution
Provider Profile Details
NPI Number
1699958421
Provider Name
Riverdale Foot, Ankle And Leg Clinic
Credential
Provider Entity Type
Organization
Address
6567 Professional Pl, Riverdale, GA, 30274-2519
Phone Number
770-997-3668
Fax Number
770-997-3470
Provider Enumeration Date
12/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7302184 01 GA AETNA
52811908 01 GA BLUE CROSS BLUE SHIELD
00869679E 05 GA
institution
Provider Business Practice Location Address Details
Address
6567 Professional Pl
City
State
Zip
30274-2519
Phone Number
770-997-3668
Fax Number
770-997-3470
person
Provider Business Mailing Address Details
Address
6567 Professional Pl
City
State
Zip
30274-2519
Phone Number
770-997-3668
Fax Number
770-997-3470
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
000890 (Georgia)
Definition
Definition to come...
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