OrganizationActive
Century Foot Care Specialists, P.C.
NPI 1164433272 · Foot Surgery Podiatrist · Lilburn, GA
Provider details
- NPI number
- 1164433272
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Lissette Tirado, President(770) 935-4443
- License
- 000729 (GA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
625 Beaver Ruin Rd Nw
Suite C
Lilburn, GA 30047-3467
Phone: (770) 935-4443
Fax: (770) 935-4475
Approximate (ZIP-level) locationGet directions
Mailing address
625 Beaver Ruin Rd Nw
Lilburn, GA 30047-3467
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2013-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.