Organization · Type 2 NPI

Southeast Podiatry

Clinic/Center · Marietta, GA

NPI number 1154568582 Active

Practice location

3225 Shallowford Rd, Suite 200
Marietta, GA 30062-1266

Call (770) 675-7904 Map

Fax (770) 675-7906

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XPOD001011 (GA)
Prosthetic/Orthotic Supplier 335E00000XPOD001011 (GA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

16 other providers at this address

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About NPI 1154568582

Southeast Podiatry's National Provider Identifier is 1154568582, issued on Jan 7, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Marietta, GA. The record was last updated on Nov 19, 2014.