| Northeast Georgia Podiatry Llc | |
|
590 S Enota Dr Ne Ste 1a, Gainesville, GA 30501-2433 | |
| (470) 252-5756 | |
| Not Available |
| Full Name | Northeast Georgia Podiatry Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 590 S Enota Dr Ne Ste 1a, Gainesville, 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 590 S Enota Dr Ne Ste 1a, Gainesville, GA 30501-2433 Ph: (470) 252-5756 | Northeast Georgia Podiatry Llc 590 S Enota Dr Ne Ste 1a, Gainesville, GA 30501-2433 Ph: (470) 252-5756 |
Dr. Rudolf W Cisco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1224 Sherwood Park Dr Ne, Gainesville, GA 30501 Phone: 770-287-0606 Fax: 770-287-0159 | |
North Ga Foot And Ankle Spec Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1224 Sherwood Park Dr Ne, Gainesville, GA 30501 Phone: 770-287-0606 | |
Gainesville Podiatry Clinic, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1975 Beverly Road, Suite B, Gainesville, GA 30501 Phone: 770-536-9908 Fax: 770-532-7102 | |
Purvi Shaan Shah, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 590 S Enota Dr Ne Ste 1, Gainesville, GA 30501 Phone: 470-252-5756 Fax: 470-252-5756 | |
Malone Foot And Ankle, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 691 Lanier Park Dr, Suite B, Gainesville, GA 30501 Phone: 770-533-9115 Fax: 770-533-9922 | |
Dr. Patrick M. Qualtire, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |