Organization
PROVIDENCE FOOT & ANKLE CENTERS PC
Active
Parent organization
PROVIDENCE FOOT & ANKLE CENTERS, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE FOOT & ANKLE CENTERS, P.C.
Authorized official
DR. ADRIENNE M. ATKINSON-SNEED D.P.M. (CEO)
(770) 745-4224
Entity
Organization
Contact information
Practice address
1110 MARSHALL RD, WELLNESS CENTER, GREENWOOD, SC 29646-4216
(866) 896-3338
(770) 790-4752
Mailing address
3886 PRINCETON LAKES WAY SW, SUITE 140A, ATLANTA, GA 30331-5511
(770) 745-4224
(770) 790-4752
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9277
MEDICARE GROUP PTAN FOR SC (PALMETTO GBA)
SC
01
—
DQ9090
MEDICARE RR (PALMETTO GBA) SC
SC
01
—
PENDING
DME (PALMETTO GBA NSC) GROUP PTAN
SC
Enumeration date
08/19/2008
Last updated
01/31/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us