| Loganville Foot And Ankle | |
|
3529 Highway 81, Loganville, GA 30052-4336 | |
| (678) 639-4209 | |
| (678) 639-4210 |
| Full Name | Loganville Foot And Ankle |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3529 Highway 81, Loganville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285001933 | NPI | - | NPPES |
| 829746724O | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD001006 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Loganville Foot And Ankle 3529 Highway 81 S, Loganville, GA 30052-0043 Ph: (678) 639-4209 | Loganville Foot And Ankle 3529 Highway 81, Loganville, GA 30052-4336 Ph: (678) 639-4209 |
Loganville Foot And Ankle Medicine Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 135 Lee Byrd Rd, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 | |
Jayson B. Phelps, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 135 Lee Byrd Rd, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 |