MARIETTA PODIATRY GROUP

MARIETTA, GA
NPI1306960836
Entity TypeOrganization
Authorized ContactGLYN E. LEWIS
CEO
770-422-9856
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Additional Taxonomies332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date2007-03-19
Last Update Date2012-01-05
Business Address
MARIETTA PODIATRY GROUP
165 VANN ST NE
MARIETTA, GA 30060-7249
Phone number: 770-422-9856
Mailing Address
MARIETTA PODIATRY GROUP
165 VANN ST NE
MARIETTA, GA 30060-7249
Phone number: 770-422-9856