Southeast Podiatry

NPI #1154568582 in Marietta, Georgia

Provider Information

NPI Number
1154568582
Entity Type
Organization
Organization Name
Southeast Podiatry
Primary Specialty
Clinic/Center
Enumeration Date
Jan 7, 2009
Last Updated
Nov 19, 2014

Practice Location

Address
3225 SHALLOWFORD RD
Address 2
SUITE 200
State
Georgia
ZIP Code
30062-1266
Phone
(770) 675-7904

Authorized Official

Name
DR. SUZANNE MARIE CLOUS, D.P.M.
Title
PODIATRIST
Phone
(770) 852-7035

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier
Clinic/Center

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