Organization
SOUTHEAST PODIATRY
Active
Organization
SOUTHEAST PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE MARIE CLOUS D.P.M. (PODIATRIST)
(770) 852-7035
Entity
Organization
Contact information
Practice address
3225 SHALLOWFORD RD, SUITE 200, MARIETTA, GA 30062-1266
(770) 675-7904
(770) 675-7906
Mailing address
3225 SHALLOWFORD RD, SUITE 200, MARIETTA, GA 30062-1266
(770) 675-7904
(770) 675-7906
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
POD001011
GA
335E00000X
Prosthetic/Orthotic Supplier
POD001011
GA
Other
Enumeration date
01/07/2009
Last updated
11/19/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up