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Southeast Podiatry
Prosthetic/Orthotic Supplier in Marietta, Georgia
NPI 1154568582

Southeast Podiatry is a Prosthetic/Orthotic Supplier based in Marietta, GA. Southeast Podiatry practices in Marietta, GA. The NPI Number for Southeast Podiatry is 1154568582 and holds a License No. POD001011 (Georgia).

The current practice location address for Southeast Podiatry is 3225 Shallowford Rd, Marietta, GA and can be reached out via phone at 770-675-7904 and via fax at 770-675-7906.

Location: 3225 Shallowford Rd, Marietta, GA, 30062-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154568582
Provider Name
Southeast Podiatry
Credential
Provider Entity Type
Organization
Address
3225 Shallowford Rd, Marietta, GA, 30062-1266
Phone Number
770-675-7904
Fax Number
770-675-7906
Provider Enumeration Date
01/07/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3225 Shallowford Rd
City
Marietta
State
Georgia
Zip
30062-1266
Phone Number
770-675-7904
Fax Number
770-675-7906
person
Provider Business Mailing Address Details
Address
3225 Shallowford Rd
City
Marietta
State
Georgia
Zip
30062-1266
Phone Number
770-675-7904
Fax Number
770-675-7906
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
POD001011 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
POD001011 (Georgia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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