The Widen Clinic is a Podiatrist based in Marietta, GA. The Widen Clinic practices in Marietta, GA. The NPI Number for The Widen Clinic is 1073795746 and holds a License No. (Georgia).
The current practice location address for The Widen Clinic is 3535 Roswell Rd, Marietta, GA and can be reached out via phone at 770-578-1400.
Location: 3535 Roswell Rd, Marietta, GA, 30062-8826
Provider Profile Details
NPI Number
1073795746
Provider Name
The Widen Clinic
Credential
Provider Entity Type
Organization
Address
3535 Roswell Rd, Marietta, GA, 30062-8826
Phone Number
770-578-1400
Fax Number
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP6040 | 01 | GA | MEDICARE GROUP NUMBER |
Provider Business Practice Location Address Details
Address
3535 Roswell Rd
City
State
Zip
30062-8826
Phone Number
770-578-1400
Fax Number
Provider Business Mailing Address Details
Address
3535 Roswell Rd
City
State
Zip
30062-8826
Phone Number
770-578-1400
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
()
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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