Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Podiatry-East Cobb

Organization Foot & Ankle Surgery Podiatrist · NPI 1396000279

Premier Podiatry-East Cobb is a Foot & Ankle Surgery Podiatrist in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

1200 Johnson Ferry Rd Ste 150
Marietta, GA 30068-5403
Phone: (770) 693-0700
Fax: (770) 971-9822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X

Record details

NPI number1396000279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trevor Beach — Physician/Owner · (770) 971-9820
NPI enumeratedJuly 7, 2012
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024
Mailing address1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403

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