Marietta Podiatry Group

LBN: Marietta Podiatry Group
Marietta Podiatry Group is an health care organization with primary practice located at 165 Vann St Ne , Marietta GA 30060-7249. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Marietta Podiatry Group can be contacted via phone (770) 422-9856, or through Lewis, Glyn E. via phone (770) 422-9856.

Contact Information

Primary practice address
165 Vann St Ne Marietta GA 30060-7249
Phone: (770) 422-9856
Fax: (770) 984-0303
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Glyn E. Doctor of Podiatric Medicine (DPM)
Phone: (770) 422-9856

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia
Suppliers / Customized Equipment 332BC3200X Georgia

Profile Details

NPI number 1306960836
LBN Legal business name Marietta Podiatry Group
DBA Doing business as
Authorized official Lewis, Glyn E. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Jan 5th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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