Riverdale Foot, Ankle And Leg Clinic | |
6567 Professional Pl, Riverdale, GA 30274-2519 | |
(770) 997-3668 | |
(770) 997-3470 |
Full Name | Riverdale Foot, Ankle And Leg Clinic |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 6567 Professional Pl, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699958421 | NPI | - | NPPES |
7302184 | Other | GA | AETNA |
52811908 | Other | GA | BLUE CROSS BLUE SHIELD |
00869679E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 000890 (Georgia) | Primary |
Provider Name | Terry L Dickerson |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598766313 PECOS PAC ID: 7012070741 Enrollment ID: I20090107000209 |
Mailing Address | Practice Location Address |
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Riverdale Foot, Ankle And Leg Clinic 6567 Professional Pl, Riverdale, GA 30274-2519 Ph: (770) 997-3668 | Riverdale Foot, Ankle And Leg Clinic 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 | |
Dr. Terry Dickerson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6567 Professional Pl, Riverdale, GA 30274 Phone: 770-997-3668 |