| The Widen Clinic | |
|
3535 Roswell Rd, Ste. 37, Marietta, GA 30062-8826 | |
| (770) 578-1400 | |
| Not Available |
| Full Name | The Widen Clinic |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 3535 Roswell Rd, Marietta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073795746 | NPI | - | NPPES |
| GRP6040 | Other | GA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| The Widen Clinic 3535 Roswell Rd, Ste. 37, Marietta, GA 30062-8826 Ph: () - | The Widen Clinic 3535 Roswell Rd, Ste. 37, Marietta, GA 30062-8826 Ph: (770) 578-1400 |
Dr. Joseph Distefano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3325 Shallowford Rd Ste 200, Marietta, GA 30062 Phone: 770-999-0804 | |
Jihae Kim, Podiatrist Medicare: Medicare Enrolled Practice Location: 1075 Whitlock Ave Sw Ste I, Marietta, GA 30064 Phone: 404-435-0718 Fax: 404-941-9543 | |
Choice Podiatry Center, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 770-702-8723 | |
Robert I Heden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4439 Roswell Rd, Marietta, GA 30062 Phone: 770-977-8221 Fax: 770-977-8222 | |
Choice Podiatry Center, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 707-702-8809 | |
Village Podiatry Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3515 Dallas Hwy Sw, Marietta, GA 30064 Phone: 770-499-0080 Fax: 770-499-0570 | |
John Andrew Martucci, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 120 Vann St Ne Ste 100, Marietta, GA 30060 Phone: 678-679-5234 Fax: 770-218-8135 |