Southeast Podiatry

LBN: Southeast Podiatry
Southeast Podiatry is an health care organization with primary practice located at 3225 Shallowford Rd Suite 200, Marietta GA 30062-1266. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Prosthetic/Orthotic Supplier. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Southeast Podiatry can be contacted via phone (770) 675-7904, or through Clous, Suzanne Marie via phone (770) 852-7035.

Contact Information

Primary practice address
3225 Shallowford Rd Suite 200 Marietta GA 30062-1266
Phone: (770) 675-7904
Fax: (770) 675-7906
Website:
Map and Directions
Authorized official contact:
Name: Clous, Suzanne Marie Doctor of Podiatric Medicine (DPM)
Phone: (770) 852-7035

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X POD001011 Georgia
Suppliers / Prosthetic/Orthotic Supplier 335E00000X POD001011 Georgia

Profile Details

NPI number 1154568582
LBN Legal business name Southeast Podiatry
DBA Doing business as
Authorized official Clous, Suzanne Marie Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2009
Last updated Nov 19th, 2014 - about 10 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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