NPI 1255333175
Marietta Eye Clinic, PA
Practice location
- Address
- 895 Canton Rd NE Building 100, Marietta, GA 30060
- Phone
- (770) 427-8111
- Fax
- (770) 499-1643
- 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
Optometrist
Registry record
- NPI
- 1255333175
- Entity type
- Organization
- NPI issued
- 11 Aug 2005
- 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.