Southeast Podiatry
Southeast Podiatry is a Clinic/Center in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2009.
- Licensed in
- GA
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
3225 Shallowford Rd Ste 200Marietta, GA 30062-1266
Phone: (770) 675-7904
Fax: (770) 675-7906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence POD001011 (GA) |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X · Licence POD001011 (GA) |
Record details
| NPI number | 1154568582 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Suzanne Clous — Podiatrist · (770) 852-7035 |
| NPI enumerated | January 7, 2009 |
| Last updated in NPPES | November 19, 2014 |
| Mailing address | 3225 Shallowford Rd, Suite 200, Marietta, GA 30062-1266 |
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