Organization
MARIETTA EYE CLINIC, PA
Active
Parent organization
MARIETTA EYE CLINIC, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIETTA EYE CLINIC, PA
Authorized official
HENRY ELLIOTT GATEHOUSE (DIRECTOR)
(770) 427-8111
Entity
Organization
Contact information
Practice address
10485 ALPHARETTA ST, ROSWELL, GA 30075-3757
(770) 427-8111
Mailing address
PO BOX 63263, CHARLOTTE, NC 28263-3263
(770) 427-8111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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