Barrett Parkway Foot And Leg
LBN: Barrett Parkway Foot And Leg
Barrett Parkway Foot And Leg is an health care organization with primary practice located at 440 Ernest W Barrett Pkwy Nw Ste 62, Kennesaw GA 30144-4918. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Barrett Parkway Foot And Leg can be contacted via phone (770) 042-2028, or through Dixon, Michael Wade via phone (770) 422-0280.
Contact Information
Primary practice address
440 Ernest W Barrett Pkwy Nw Ste 62
Kennesaw GA 30144-4918
Phone: (770) 042-2028
Fax: (770) 426-5388
Website:
Authorized official contact:
Name: Dixon, Michael Wade Doctor of Podiatric Medicine (DPM)
Phone: (770) 422-0280
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | GA000961 | Georgia |
Profile Details
| NPI number | 1689671273 |
|---|---|
| LBN Legal business name | Barrett Parkway Foot And Leg |
| DBA Doing business as | |
| Authorized official | Dixon, Michael Wade Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jan 14th, 2014 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689671273 | NPPES |
| Georgia | MEDICAID | 000954643C |
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