OrganizationAllied Ankle & Footcare Centers PcPodiatristPodiatric Medicine & Surgery Service ProvidersPractice Address2784 N Decatur Rd, Suite 150, Decatur, GA 30033-5903(404) 298-6050(770) 255-0425PECOS EnrollmentBased on the most recent information from CMS, provider Allied Ankle & Footcare Centers Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1275708315Provider TypeOrganizationFull NameAllied Ankle & Footcare Centers PcSubpartNoEnumeration Date4/29/2008Last Updated6/16/2008Contact InformationPractice LocationPractice Address2784 N Decatur Rd, Suite 150, Decatur, GA 30033-5903Phone(404) 298-6050Fax(404) 508-0648Mailing LocationMailing AddressPO Box 491658, Lawrenceville, GA 30049-0028Phone(770) 255-0425Fax(770) 255-0425Authorized OfficialNameBouchard, James Louis (Medical Director)Phone(770) 255-0424Provider TaxonomiesCodeDescriptionLicenseCode213ES0103XPrimaryDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicensePOD000418GeorgiaProvider IdentifiersIDDescriptionIssuerIDGRP446DescriptionOtherIssuerMEDICARE GROUPGeorgia