Marietta Eye Clinic, PA

NPI #1396441465 in Roswell, Georgia

Provider Information

NPI Number: 1396441465
Entity Type: Organization
Organization Name: Marietta Eye Clinic, PA
Subpart: Yes (part of a larger organization)
Parent Organization: MARIETTA EYE CLINIC, PA
Primary Specialty: Ophthalmology
Enumeration Date: Feb 1, 2023
Last Updated: Feb 1, 2023

Practice Location

Address: 10485 ALPHARETTA ST
City: Roswell
State: Georgia
ZIP Code: 30075-3757
Phone: (770) 427-8111

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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