PREMIER PODIATRY-EAST COBB NPI 1396000279

NPI Information

NPI: 1396000279
Provider Name: PREMIER PODIATRY-EAST COBB
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1121 JOHNSON FERRY RD
BUILDING 1, SUITE 215
MARIETTA, GA
ZIP 30068
Phone: (770) 693-0700
Get Directions

PREMIER PODIATRY-EAST COBB is a foot and ankle surgery podiatrist in Marietta, GA. PREMIER PODIATRY-EAST COBB NPI is 1396000279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1121 JOHNSON FERRY RD
BUILDING 1, SUITE 215
MARIETTA, GA
ZIP 30068-425
Phone: (770) 693-0700

The provider's authorized official is Trevor R Beach .
The authorized official title is Physician/owner and has the following contact phone number (770) 971-9820.

The enumeration date for this NPI number is 7/7/2012 and was last updated on 3/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes
2	213ES0103X	Podiatrist	Foot & Ankle Surgery		GEORGIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »