MEDICARE: RICHARD C ARONOFF DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	POD000909	GA

General Provider Information

NPI Number	:	1346202942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD C ARONOFF DPM

Provider Business Mailing Address
First Line	:	900 CIRCLE 75 PKWY SE
Second Line	:	STE. 900
City	:	ATLANTA
State	:	GA
Zip	:	30339-3035
Country	:	US
Telephone Number	:	678-426-2171
Fax Number	:	404-446-1957

Provider Business Practice Location Address
First Line	:	771 OLD NORCROSS RD
Second Line	:	SUITE 355
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-4386
Country	:	US
Telephone Number	:	770-963-5161
Fax Number	:	770-513-3916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	01/27/2014

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Directions to “ RICHARD C ARONOFF DPM” Practice Location

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