Dr Tommy Lee Tally, DPM | |
1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541 | |
(470) 589-1204 | |
(470) 589-1465 |
Full Name | Dr Tommy Lee Tally |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 8 Years |
Location | 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427523919 | NPI | - | NPPES |
003219790A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001388 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory Johns Creek Hospital | Johns creek, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Suwanee Foot And Ankle Specialists Llc | 4082016159 | 2 |
Provider Name | Suwanee Foot And Ankle Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184292138 PECOS PAC ID: 4082016159 Enrollment ID: O20210712003255 |
Mailing Address | Practice Location Address |
---|---|
Dr Tommy Lee Tally, DPM 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541 Ph: (470) 589-1204 | Dr Tommy Lee Tally, DPM 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541 Ph: (470) 589-1204 |
Dr. Rupal Patel Gupta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4355 Johns Creek Pkwy, Suite 520, Suwanee, GA 30024 Phone: 770-418-0456 Fax: 770-418-1603 | |
Dr. Virang Girish Shah, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3925 Johns Creek Ct, Suite C2, Suwanee, GA 30024 Phone: 315-882-1200 | |
Suwanee Foot And Ankle Specialists Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024 Phone: 470-589-1204 Fax: 470-589-1465 | |
Foot And Ankle Health Centers, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 3925 Johns Creek Ct, Suite C2, Suwanee, GA 30024 Phone: 678-871-0876 Fax: 678-871-0836 | |
Dr. Vasudha Rani Shah, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3925 Johns Creek Ct, Suite C2, Suwanee, GA 30024 Phone: 678-871-0876 Fax: 678-871-0836 | |
Dr. Claude I Mayembe Sr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3245 Peachtree Pkwy Ste D-475, Suwanee, GA 30024 Phone: 678-288-9205 Fax: 678-926-3550 | |
Atlanta Podiatry Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4385 Johns Creek Pkwy, Suite 200, Suwanee, GA 30024 Phone: 770-418-0456 |