Marietta Eye Clinic, PA

NPI #1174685481 in Marietta, Georgia

Provider Information

NPI Number: 1174685481
Entity Type: Organization
Organization Name: Marietta Eye Clinic, PA
Primary Specialty: Ophthalmology
Enumeration Date: Dec 14, 2006
Last Updated: May 15, 2018

Practice Location

Address: 2520 WINDY HILL RD SE
Address 2: SUITE 206
City: Marietta
State: Georgia
ZIP Code: 30067
Phone: (770) 952-6851

Authorized Official

Name: HENRY ELLIOTT GATEHOUSE
Title: SENIOR DIRECTOR
Phone: (770) 427-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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