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Mystic Medical, LLC

NPI #1093108763 in Atlanta, Georgia

Provider Information

NPI Number
1093108763
Entity Type
Organization
Organization Name
Mystic Medical, LLC
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Mar 5, 2015
Last Updated
Mar 25, 2025

Practice Location

Address
5555 GLENRIDGE CONNECTOR
Address 2
SUITE 200
City
Atlanta
State
Georgia
ZIP Code
30342-4759
Phone
(404) 351-0055

Authorized Official

Name
AMANDA DYKES
Title
ADMIN
Phone
(404) 351-0055

Specialties & Taxonomy Codes

Specialty
Optometrist
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery

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