Healthcare Provider Details

I. General information

NPI: 1881769958
Provider Name (Legal Business Name): ANKLE AND FOOT SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 JOHNSON FERRY RD NE SUITE 310
ATLANTA GA
30342-1631
US

IV. Provider business mailing address

960 JOHNSON FERRY RD NE SUITE 310
ATLANTA GA
30342-1631
US

V. Phone/Fax

Practice location:
  • Phone: 404-389-0603
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number000500
License Number StateGA

VIII. Authorized Official

Name: DR. STEVEN P RICHMAN
Title or Position: OWNER
Credential: DPM
Phone: 404-389-0603