PROVIDENCE FOOT & ANKLE CENTERS, PC, INC; NPI #1083972376

Contact Information

PROVIDENCE FOOT & ANKLE CENTERS, PC, INC

4109 JIMMY LEE SMITH PKWY
SUITE C
HIRAM, GA 30141-2643

Phone: 770-745-4224
Fax: 770-745-4228
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry
Primary Podiatric Medicine	213EP1101X	48	Podiatry
Radiology	213ER0200X	48	Podiatry
Sports Medicine	213ES0000X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for PROVIDENCE FOOT & ANKLE CENTERS, PC, INC

NPI # 1083972376

LBN Legal business name PROVIDENCE FOOT & ANKLE CENTERS, PC, INC

Authorized official ADRIENNE ATKINSON-SNEED - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/25/2012

Last updated 04/25/2012 - About 14 years ago

Identifiers

GA	Other	511G700902	MEDICARE GROUP PTAN GEORGIA
GA	Other	DQ9092	RR MEDICARE GROUP NUMBER GEORGIA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PROVIDENCE FOOT & ANKLE CENTERS, PC, INC

Contact Information

Specialty

Surgery, Foot & Ankle

Podiatrist

Primary Podiatric Medicine

Radiology

Sports Medicine

NPI Profile & details for PROVIDENCE FOOT & ANKLE CENTERS, PC, INC

Reviews for PROVIDENCE FOOT & ANKLE CENTERS, PC, INC