| NPI | 1427453398 |
|---|---|
| Doing Business As | MARIETTA PODIATRY GROUP |
| Entity Type | Organization |
| Authorized Contact | MARILYN GRACE DALESSANDRO Credentialing Specialist 770-255-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA 000471) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |