AFFILIATED FOOT AND ANKLE PC NPI 1669452611

NPI Information

  • NPI: 1669452611
  • Provider Name: AFFILIATED FOOT AND ANKLE, PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 3071 PEACHTREE INDUSTRIAL BLVD
    STE 110
    DULUTH, GA
    ZIP 30097
  • Phone: (770) 232-9778

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NPI Details

AFFILIATED FOOT AND ANKLE, PC is a foot and ankle surgery podiatrist in Duluth, GA. AFFILIATED FOOT AND ANKLE, PC NPI is 1669452611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3071 PEACHTREE INDUSTRIAL BLVD
STE 110
DULUTH, GA
ZIP 30097-607
Phone: (770) 232-9778
Fax: (770) 232-9776

The provider's authorized official is Richard P Mistretta .
The authorized official title is Cfo/treasurer and has the following contact phone number (770) 232-9778.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 4/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery00742GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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