| Divine Podiatry | |
|
1204 Bentley Estates Dr, Dacula, GA 30019-7786 | |
| (609) 922-1866 | |
| Not Available |
| Full Name | Divine Podiatry |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1204 Bentley Estates Dr, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104235613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD00148 (Georgia) | Primary |
| Provider Name | Aliya Fagan Matthews |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487819173 PECOS PAC ID: 1658551726 Enrollment ID: I20120321000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Podiatry 1204 Bentley Estates Dr, Dacula, GA 30019-7786 Ph: (609) 922-1866 | Divine Podiatry 1204 Bentley Estates Dr, Dacula, GA 30019-7786 Ph: (609) 922-1866 |
Village Podiatry Group, Llc. Podiatrist Medicare: Medicare Enrolled Practice Location: 2069 Teron Trce, Ste. 300, Dacula, GA 30019 Phone: 770-831-9979 Fax: 770-271-2115 | |
Dr. Aliya Matthews, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1204 Bentley Estates Dr, Dacula, GA 30019 Phone: 609-922-1866 | |
Village Podiatry Group, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2850 Hog Mountain Rd, Suite 101, Dacula, GA 30019 Phone: 404-446-1940 Fax: 404-446-1941 | |
Divine Podiatry Center Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1204 Bentley Estates Dr, Dacula, GA 30019 Phone: 609-922-8166 | |
Advanced Foot And Ankle Centers Of North Georgia Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2645 Grove Valley Ln, Dacula, GA 30019 Phone: 678-714-8300 | |
Foot And Ankle Centers Of Ne Ga Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2850 Hog Mountain Rd, Ste 101, Dacula, GA 30019 Phone: 770-963-5161 Fax: 678-430-0018 |