Marietta Podiatry Group

NPI #1487638318 in Marietta, Georgia

Provider Information

NPI Number
1487638318
Entity Type
Organization
Organization Name
Marietta Podiatry Group
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Dec 5, 2005
Last Updated
Jan 5, 2012

Practice Location

Address
165 VANN ST NE
State
Georgia
ZIP Code
30060-7249
Phone
(770) 422-9856

Authorized Official

Name
DR. GLYN E LEWIS, DPM
Title
CEO
Phone
(770) 422-9856

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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