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Contact Information

JOSEPH DISTEFANO, DPM
3325 SHALLOWFORD RD STE 200
MARIETTA, GA30062
 Phone: 770-999-0804
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOSEPH DISTEFANO · (Male)

NPI Number 1013357383
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/01/2013
Last updated 07/09/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • GA License # POD001323
  • MD License # 01669
  • GA Medicaid 003258042C
Hospital affiliation(s)
  • CARTERSVILLE MEDICAL CENTER - (Acute Care)
    960 JOE FRANK HARRIS PARKWAY
    CARTERSVILLE, GA 30120
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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