NPI 1093108763

Mystic Medical, LLC

Organisation Foot & Ankle Surgery Podiatrist Atlanta, GA

Practice location

Address: 5555 Glenridge Connector Suite 200, Atlanta, GA 30342-4759
Phone: (404) 351-0055

Authorised official

Name: Amanda Dykes
Title: Admin
Phone: (404) 351-0055

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Georgia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Georgia →

Registry record

NPI: 1093108763
Entity type: Organization
NPI issued: 5 Mar 2015
Record last updated: 25 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.