Individual ProviderHolly K BeckerPodiatristPodiatric Medicine & Surgery Service ProvidersPractice Address1670 Clairmont Rd, Decatur, GA 30033-4004(404) 321-6111(239) 940-0869PECOS EnrollmentBased on the most recent information from CMS, provider Holly K Becker 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 ID1689847402Provider TypeIndividualFull NameBecker, Holly KCredentialDPMGenderFemaleSole ProprietorNoEnumeration Date4/13/2008Last Updated9/22/2022Contact InformationPractice LocationPractice Address1670 Clairmont Rd, Decatur, GA 30033-4004Phone(404) 321-6111FaxUnlisted FaxMailing LocationMailing Address213 Red Jasper Rd, Villa Rica, GA 30180-7723Phone(239) 940-0869FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode213ES0103XPrimaryDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicensePO 3264FloridaProvider IdentifiersIDDescriptionIssuerID002275300DescriptionMedicaidIssuerUnlistedFlorida