| NPI | 1144107038 |
|---|---|
| Doing Business As | ORTHOXPRESS OF MARIETTA |
| Entity Type | Organization |
| Authorized Contact | KAYLA PENDER Credentialing Specialist 662-534-2227 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |