Marietta Eye Clinic, PA

NPI #1255333175 in Marietta, Georgia

Provider Information

NPI Number: 1255333175
Entity Type: Organization
Organization Name: Marietta Eye Clinic, PA
Primary Specialty: Ophthalmology
Enumeration Date: Aug 11, 2005
Last Updated: May 15, 2018

Practice Location

Address: 895 CANTON RD NE
Address 2: BUILDING 100
City: Marietta
State: Georgia
ZIP Code: 30060
Phone: (770) 427-8111

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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