Century Foot Care Specialists, P.c. | |
625 Beaver Ruin Rd Nw, Suite C, Lilburn, GA 30047-3467 | |
(770) 935-4443 | |
(770) 935-4475 |
Full Name | Century Foot Care Specialists, P.c. |
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Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 625 Beaver Ruin Rd Nw, Lilburn, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164433272 | NPI | - | NPPES |
019971009A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
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213ES0131X | Podiatrist - Foot Surgery | 000729 (Georgia) | Primary |
Provider Name | Lissette E Tirado |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1508866765 PECOS PAC ID: 8022920578 Enrollment ID: I20031104000015 |
Mailing Address | Practice Location Address |
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Century Foot Care Specialists, P.c. 625 Beaver Ruin Rd Nw, Suite C, Lilburn, GA 30047-3467 Ph: (770) 935-4443 | Century Foot Care Specialists, P.c. 625 Beaver Ruin Rd Nw, Suite C, Lilburn, GA 30047-3467 Ph: (770) 935-4443 |
Dr. James Palmer Branch, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4705 Lawrenceville Hwy Nw, Suite C, Lilburn, GA 30047 Phone: 770-921-8800 | |
Lissette E. Tirado, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 625 Beaver Ruin Rd Nw, Suite C, Lilburn, GA 30047 Phone: 770-935-4443 Fax: 770-935-4475 |