| Suwanee Foot And Ankle Specialists Llc | |
|
1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541 | |
| (470) 589-1204 | |
| (470) 589-1465 |
| Full Name | Suwanee Foot And Ankle Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184292138 | NPI | - | NPPES |
| 003219790A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Tommy Lee Tally |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427523919 PECOS PAC ID: 2163759291 Enrollment ID: I20190812001954 |
| Provider Name | Kelly Suzanne Tally |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932673902 PECOS PAC ID: 6002246584 Enrollment ID: I20200423003330 |
| Mailing Address | Practice Location Address |
|---|---|
| Suwanee Foot And Ankle Specialists Llc 1300 Peachtree Industrial Blvd Ste 4105, Suwanee, GA 30024-4541 Ph: (470) 589-1204 | Suwanee Foot And Ankle Specialists Llc 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 | |
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 |