Dr Terry Dickerson, DPM | |
6567 Professional Pl, Riverdale, GA 30274-2519 | |
(770) 997-3668 | |
Not Available |
Full Name | Dr Terry Dickerson |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 26 Years |
Location | 6567 Professional Pl, Riverdale, 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 |
---|---|---|---|
1598766313 | NPI | - | NPPES |
00869679E | Medicaid | GA | |
202833600 | Other | GA | DEPARTMENT OF LABOR |
7302184 | Other | GA | AETNA |
52811908 | Other | GA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 000890 (Georgia) | Primary |
Provider Name | Riverdale Foot, Ankle And Leg Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699958421 PECOS PAC ID: 8527121250 Enrollment ID: O20090107000243 |
Provider Name | Hardy Renew Wellness,llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
Mailing Address | Practice Location Address |
---|---|
Dr Terry Dickerson, DPM 6567 Professional Pl, Riverdale, GA 30274-2519 Ph: () - | Dr Terry Dickerson, DPM 6567 Professional Pl, Riverdale, GA 30274-2519 Ph: (770) 997-3668 |
Allied Ankle & Footcare Centers Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 34 Upper Riverdale Rd, Suite 203, Riverdale, GA 30274 Phone: 770-907-7973 Fax: 770-907-7975 | |
Riverdale Foot, Ankle And Leg Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 6567 Professional Pl, Riverdale, GA 30274 Phone: 770-997-3668 Fax: 770-997-3470 |