Dr Richard Paul Hollstrom,jr, DPM | |
1555 Doctors Dr, Ste 106, Lagrange, GA 30240-4139 | |
(706) 845-9370 | |
(706) 845-9371 |
Full Name | Dr Richard Paul Hollstrom,jr |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 25 Years |
Location | 1555 Doctors Dr, Lagrange, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710939145 | NPI | - | NPPES |
723086380A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | POD000988 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ankle And Foot Centers Of Georgia, Llc | 8022295294 | 46 |
Provider Name | Ankle And Foot Centers Of Georgia, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992003479 PECOS PAC ID: 8022295294 Enrollment ID: O20110616000039 |
Provider Name | Med Ventures Mri, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154784205 PECOS PAC ID: 7810281573 Enrollment ID: O20160803002900 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Paul Hollstrom,jr, DPM 1555 Doctors Dr, Ste 106, Lagrange, GA 30240-4139 Ph: (706) 845-9370 | Dr Richard Paul Hollstrom,jr, DPM 1555 Doctors Dr, Ste 106, Lagrange, GA 30240-4139 Ph: (706) 845-9370 |
Lagrange Foot Clinic Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 411 S Greenwood St, Suite A, Lagrange, GA 30240 Phone: 706-883-6415 Fax: 706-884-2429 | |
Dr. Claire Ashley Hollstrom, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1555 Doctors Dr, Ste 106, Lagrange, GA 30240 Phone: 706-845-9370 Fax: 706-845-9371 | |
Dr. Craig Sun, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1555 Doctors Dr, Ste 106, Lagrange, GA 30240 Phone: 706-845-9370 Fax: 706-845-9371 | |
Ankle And Foot Center Of Georgia,llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1555 Doctors Dr, Ste 106, Lagrange, GA 30240 Phone: 706-845-9370 Fax: 706-845-9371 | |
Dr. John Paul Warrick Jr., DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 411 S Greenwood St, Lagrange, GA 30240 Phone: 706-883-6415 Fax: 706-884-2429 |