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Organization

MARIETTA EYE CLINIC PA

Active
Other names
MARIETTA EYE SURGERY AT JOHNS CREEK
Organization subpart
No

Provider details

NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(214) 213-0732
Entity
Organization

Contact information

Practice address
4025 JOHNS CREEK PKWY STE 400, SUWANEE, GA 30024-5682
(469) 872-4706
Mailing address
4025 JOHNS CREEK PKWY STE 400, SUWANEE, GA 30024-5682

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary

Other

Enumeration date
03/07/2025
Last updated
03/31/2026
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