| Northeast Georgia Podiatry Llc | |
|
4337 Walden Way, Flowery Branch, GA 30542-3090 | |
| (813) 484-0152 | |
| Not Available |
| Full Name | Northeast Georgia Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4337 Walden Way, Flowery Branch, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225575855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001208 (Georgia) | Primary |
| Provider Name | Purvi Shaan Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215164942 PECOS PAC ID: 4183868342 Enrollment ID: I20130910000660 |
| Provider Name | Margot A Waldman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609287291 PECOS PAC ID: 0143592477 Enrollment ID: I20210830001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Georgia Podiatry Llc 4337 Walden Way, Flowery Branch, GA 30542-3090 Ph: (813) 484-0152 | Northeast Georgia Podiatry Llc 4337 Walden Way, Flowery Branch, GA 30542-3090 Ph: (813) 484-0152 |
Dr. Jeannette Velazquez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3485 Atlanta Hwy, Flowery Branch, GA 30542 Phone: 770-531-9222 | |
Bare Foot Care Specialist, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 3485 Atlanta Hwy, Flowery Branch, GA 30542 Phone: 770-531-9222 |