Search › Georgia › 213ES0103X
Joseph Distefano, DPM
NPI 1013357383 · on the registry since 2013
Practice
- Address
- 3325 Shallowford Rd Ste 200
Marietta, GA 30062 - Phone
- (770) 999-0804
- Clinicians at this address
- 2
Additional practice sites
- 49 Gordon Rd Ste 104, Jasper, GA
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213ES0103X
- Licence states on file
- MD, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia