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11459 Johns Creek Pkwy, Ste 260, Duluth, GA 30097-3515 | |
| (770) 963-5161 | |
| (678) 430-0018 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 11459 Johns Creek Pkwy, Duluth, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619261989 | NPI | - | NPPES |
| 0430650004 | Other | GA | CIGNA GOVERNMENT SERVICES |
| CN7503 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
771 Old Norcross Rd, Ste 355, Lawrenceville, GA 30046-4386 Ph: (770) 963-5161 | 11459 Johns Creek Pkwy, Ste 260, Duluth, GA 30097-3515 Ph: (770) 963-5161 |
Dr. Richard Mistretta, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3071 Peachtree Industrial Blvd, Suite # 110, Duluth, GA 30097 Phone: 770-232-9778 Fax: 770-232-9776 | |
Aria Mansoori, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3655 Howell Ferry Rd Ste 100, Duluth, GA 30096 Phone: 770-497-8283 Fax: 770-497-8285 | |
Brian Donald Neerings, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Podiatry Dept, Duluth, GA 30096 Phone: 623-848-0123 Fax: 623-848-1153 | |
Affiliated Foot And Ankle, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 3071 Peachtree Industrial Blvd, Ste 110, Duluth, GA 30097 Phone: 770-232-9778 Fax: 770-232-9776 | |