| Dr Terry Dickerson, DPM | |
|
6567 Professional Pl, Riverdale, GA 30274-2519 | |
| (770) 997-3668 | |
| Not Available |
| Full Name | Dr Terry Dickerson |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 28 Years |
| Location | 6567 Professional Pl, Riverdale, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598766313 | NPI | - | NPPES |
| 00869679E | Medicaid | GA | |
| 202833600 | Other | GA | DEPARTMENT OF LABOR |
| 7302184 | Other | GA | AETNA |
| 52811908 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 000890 (Georgia) | Primary |
| Provider Name | Riverdale Foot, Ankle And Leg Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699958421 PECOS PAC ID: 8527121250 Enrollment ID: O20090107000243 |
| Provider Name | Hardy Renew Wellness,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952914368 PECOS PAC ID: 2961812425 Enrollment ID: O20201112000534 |
| Provider Name | Podiatry Company Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457931610 PECOS PAC ID: 5890103097 Enrollment ID: O20250306001394 |
| Provider Name | Georgia Mso Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952196164 PECOS PAC ID: 3173041639 Enrollment ID: O20250519001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry Dickerson, DPM 6567 Professional Pl, Riverdale, GA 30274-2519 Ph: () - | Dr Terry Dickerson, DPM 6567 Professional Pl, Riverdale, GA 30274-2519 Ph: (770) 997-3668 |
Allied Ankle & Footcare Centers Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 34 Upper Riverdale Rd, Suite 203, Riverdale, GA 30274 Phone: 770-907-7973 Fax: 770-907-7975 | |
Riverdale Foot, Ankle And Leg Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 6567 Professional Pl, Riverdale, GA 30274 Phone: 770-997-3668 Fax: 770-997-3470 |