Suwanee Foot And Ankle Specialists Llc
LBN: Suwanee Foot And Ankle Specialists Llc
Suwanee Foot And Ankle Specialists Llc is an health care organization with primary practice located at 1300 Peachtree Industrial Blvd Ste 4105 , Suwanee GA 30024-4541. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Suwanee Foot And Ankle Specialists Llc can be contacted via phone (470) 589-1204, or through Tally, Tommy Lee via phone (470) 589-1204.
Contact Information
Primary practice address
1300 Peachtree Industrial Blvd Ste 4105
Suwanee GA 30024-4541
Phone: (470) 589-1204
Fax: (470) 589-1465
Website:
Authorized official contact:
Name: Tally, Tommy Lee Doctor of Podiatric Medicine (DPM)
Phone: (470) 589-1204
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
Profile Details
| NPI number | 1184292138 |
|---|---|
| LBN Legal business name | Suwanee Foot And Ankle Specialists Llc |
| DBA Doing business as | |
| Authorized official | Tally, Tommy Lee Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2021 |
| Last updated | Sep 7th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184292138 | NPPES |
| Georgia | MEDICAID | 003219790A |
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