| NPI | 1013038587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA JUSTINE FISHER Owner/Practitioner 770-386-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000939) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-11-29 |