NPI age
18 years
Enumerated 2007-12-15
● Active Type 2 · Organization
Riverdale Foot, Ankle And Leg Clinic
Riverdale Foot, Ankle And Leg Clinic is 1 of 397 podiatrist organizations in Georgia.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dickerson
President/ceo
Last NPPES update
2009-01-08
Source: monthly bulk 2026-05
How this organization compares
Across 397 active podiatrist providers in Georgia.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6567 Professional Pl
Riverdale, GA 302742519
Mailing address
6567 Professional Pl
Riverdale, GA 302742519
Authorized official
Terry Lee Dickerson, DPM
President/ceo
📞 7709973668
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Terry Dickerson, D.P.M. Podiatrist NPI 1598766313
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 7302184 | AETNA |
| 01 (GA) | 52811908 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 00869679E |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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