PROVIDENCE FOOT & ANKLE CENTERS, P.C. INC.; NPI #1457508681

Contact Information

PROVIDENCE FOOT & ANKLE CENTERS, P.C. INC.

3886 PRINCETON LAKES WAY SW
SUITE 140A
ATLANTA, GA 30331-5511

Phone: 770-745-4224
Fax: 770-790-4752
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, P.C. INC.

NPI Number 1457508681

LBN Legal business name PROVIDENCE FOOT & ANKLE CENTERS, P.C. INC.

Authorized official ADRIENNE ATKINSON-SNEED - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 08/19/2008

Last updated 04/19/2012 - About 14 years ago

Identifiers

	Other	DQ9092	MEDICARE RR (PALMETTO GBA) GROUP PTAN
GA	Other	511G700902	MEDICARE GA (CAHABA GBA) GROUP PTAN (ASSOC. WITH THORNTON NPI)
GA	Other	6169580001	PTAN

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, P.C. INC.

Contact Information

Specialty

Surgery, Foot & Ankle

Podiatrist

Primary Podiatric Medicine

Radiology

Sports Medicine

NPI Profile & details for PROVIDENCE FOOT & ANKLE CENTERS, P.C. INC.

Reviews for PROVIDENCE FOOT & ANKLE CENTERS, P.C. INC.