Organization
AFFILIATED FOOT AND ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P MISTRETTA DPM (CFO/TREASURER)
(770) 232-9778
Entity
Organization
Contact information
Practice address
3071 PEACHTREE INDUSTRIAL BLVD, STE 110, DULUTH, GA 30097-8607
(770) 232-9778
(770) 232-9776
Mailing address
3071 PEACHTREE INDUSTRIAL BLVD, STE 110, DULUTH, GA 30097-8607
(770) 232-9778
(770) 232-9776
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00742
GA
Other
Enumeration date
01/17/2006
Last updated
04/13/2023
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