Marietta Podiatry Group in Marietta - Durable Medical Equipment & Medical Supplies
Marietta Podiatry Group - NPI 1306960836
Marietta Podiatry Group is a Durable Medical Equipment & Medical Supplies in Marietta, Georgia. Marietta Podiatry Group practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Marietta Podiatry Group is 1306960836. The last update date is 2012-01-05.
Marietta Podiatry Group's current location address is 165 Vann St Ne, Marietta, Georgia. You can contact this provider via phone number 7704229856 and fax number 7709840303. The mailing address for Marietta Podiatry Group is 165 Vann St Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marietta Podiatry Group |
|---|---|
| Address | 165 Vann St Ne, Marietta, Georgia |
| Phone Number | 7704229856 |
| Fax Number | 7709840303 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Lewis E. Glyn |
| Credentials | DPM |
| Telephone Number | 7704229856 |
NPI Number Detail
| NPI Number | 1306960836 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2012-01-05 |
Provider Mailing Address Detail
| Address | 165 Vann St Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300607249 |
| Phone Number | 7704229856 |
| Fax Number | 7709840303 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the Marietta Podiatry Group's 1306960836?
The Marietta Podiatry Group's NPI (National Provider Identifier) Number is 1306960836. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marietta Podiatry Group is physically located?
The Marietta Podiatry Group is situated at the following address: 165 Vann St Ne, Marietta, GA 300607249.
What is Marietta Podiatry Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marietta Podiatry Group is Durable Medical Equipment & Medical Supplies, and the taxonomy classification code that categorizes this area of expertise is 332B00000X.
On what date did Marietta Podiatry Group receive its 1306960836 assignment from the Centers for Medicare & Medicaid Services?
The Marietta Podiatry Group was assigned its 1306960836 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marietta Podiatry Group's details last updated?
The information pertaining to the Marietta Podiatry Group, including its address, specialty, and other details, was most recently updated on 2012-01-05.
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