NPI 1013079375

Marietta Eye Clinic, PA

Organisation Ophthalmology Physician Douglasville, GA

Practice location

Address: 8841 Hospital Dr, Douglasville, GA 30134
Phone: (770) 577-2220
Mailing address: 895 Canton Rd NE Building 100, Marietta, GA 30060-8934

Authorised official

Name: Henry Elliott Gatehouse
Title: Senior Director
Phone: (770) 427-8111

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Georgia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Georgia →

Registry record

NPI: 1013079375
Entity type: Organization
NPI issued: 14 Dec 2006
Record last updated: 15 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.