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Riverdale Foot, Ankle and Leg Clinic

NPI #1699958421 in Riverdale, Georgia

Provider Information

NPI Number
1699958421
Entity Type
Organization
Organization Name
Riverdale Foot, Ankle and Leg Clinic
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
Dec 15, 2007
Last Updated
Jan 8, 2009

Practice Location

Address
6567 PROFESSIONAL PL
City
Riverdale
State
Georgia
ZIP Code
30274-2519
Phone
(770) 997-3668

Authorized Official

Name
DR. TERRY LEE DICKERSON, DPM
Title
PRESIDENT/CEO
Phone
(770) 997-3668

Specialties & Taxonomy Codes

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

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Provider Name
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