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 |