Marietta Eye Clinic, PA

NPI #1689736860 in Marietta, Georgia

Provider Information

NPI Number: 1689736860
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: 3939 ROSWELL RD
Address 2: SUITE 100
City: Marietta
State: Georgia
ZIP Code: 30062
Phone: (770) 977-8000

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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