MARIETTA PODIATRY GROUP

MARIETTA, GA
NPI1487638318
Entity TypeOrganization
Authorized ContactGLYN E LEWIS
CEO
770-422-9856
Organization Subpart ?No
Primary Taxonomy261QP1100X Clinic/Center, Podiatric
Enumeration Date2005-12-05
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
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