Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverdale Foot, Ankle and Leg Clinic

Organization Foot & Ankle Surgery Podiatrist · NPI 1699958421

Riverdale Foot, Ankle and Leg Clinic is a Foot & Ankle Surgery Podiatrist in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

6567 Professional Pl
Riverdale, GA 30274-2519
Phone: (770) 997-3668
Fax: (770) 997-3470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 000890 (GA)

Record details

NPI number1699958421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Dickerson — President/Ceo · (770) 997-3668
NPI enumeratedDecember 15, 2007
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address6567 Professional Pl, Riverdale, GA 30274-2519

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