Provider Demographics
NPI:1578856902
Name:VERLEZZA, IRENE CRISTINA (DPM)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:CRISTINA
Last Name:VERLEZZA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1200 JOHNSON FERRY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-5403
Mailing Address - Country:US
Mailing Address - Phone:770-971-9820
Mailing Address - Fax:770-971-9822
Practice Address - Street 1:1200 JOHNSON FERRY RD STE 150
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-5403
Practice Address - Country:US
Practice Address - Phone:770-971-9820
Practice Address - Fax:770-971-9822
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD001256213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery