NPI | 1013142017 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE BUTLER Cbo Manager 601-663-1423 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MS 80193) |
Enumeration Date | 2009-05-19 |
Last Update Date | 2009-05-19 |