| NPI | 1003309444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERREE SMITH Provider/Owner 508-747-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MA 2152) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-11-08 |