Loganville Foot And Ankle | |
3529 Highway 81, Loganville, GA 30052-4336 | |
(678) 639-4209 | |
(678) 639-4210 |
Full Name | Loganville Foot And Ankle |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 3529 Highway 81, Loganville, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285001933 | NPI | - | NPPES |
829746724O | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD001006 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Loganville Foot And Ankle 3529 Highway 81 S, Loganville, GA 30052-0043 Ph: (678) 639-4209 | Loganville Foot And Ankle 3529 Highway 81, Loganville, GA 30052-4336 Ph: (678) 639-4209 |
Loganville Foot And Ankle Medicine Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 135 Lee Byrd Rd, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 | |
Jayson B. Phelps, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 135 Lee Byrd Rd, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 |