PODIATRY GROUP OF GEORGIA INC NPI 1811291149

NPI Information

PODIATRY GROUP OF GEORGIA, INC is a foot and ankle surgery podiatrist in Marietta, GA. PODIATRY GROUP OF GEORGIA, INC NPI is 1811291149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3901 ROSWELL RD
340
MARIETTA, GA
ZIP 30062-250
Phone: (404) 806-3731
Fax: (770) 321-0001

The provider's authorized official is Tammy Kathryn Gephart .
The authorized official title is Owner/physician and has the following contact phone number 40408063731.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 8/14/2015.

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:

Other Identifiers

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