| Choice Podiatry Center, Inc. | |
|
540 Powder Springs St Ste B6, Marietta, GA 30064-3559 | |
| (770) 702-8723 | |
| (707) 702-8809 |
| Full Name | Choice Podiatry Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 540 Powder Springs St Ste B6, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053583666 | NPI | - | NPPES |
| P00460780 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001071 (Georgia) | Primary |
| Provider Name | Vivian C Iwu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811019730 PECOS PAC ID: 2466552682 Enrollment ID: I20070717000177 |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Podiatry Center, Inc. 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 Ph: (770) 702-8723 | Choice Podiatry Center, Inc. 540 Powder Springs St Ste B6, Marietta, GA 30064-3559 Ph: (770) 702-8723 |
Choice Podiatry Center, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 770-702-8723 | |
Robert I Heden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4439 Roswell Rd, Marietta, GA 30062 Phone: 770-977-8221 Fax: 770-977-8222 | |
Village Podiatry Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3515 Dallas Hwy Sw, Marietta, GA 30064 Phone: 770-499-0080 Fax: 770-499-0570 | |
Charles R Haendel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne, Ste 450, Marietta, GA 30060 Phone: 770-590-4188 Fax: 770-590-4189 | |
Village Podiatry Group Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Johnson Ferry Rd Ste 375, Marietta, GA 30068 Phone: 770-273-8895 | |
John C Haight, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 165 Vann St Ne, Marietta, GA 30060 Phone: 770-422-9856 |