| NPI | 1013061357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY M HARRIS Practice Administrator 770-832-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000478) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000434) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000758) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-01-07 |