NPI | 1013354935 |
---|---|
Doing Business As | GENESIS FOOT & LEG SPECIALISTS |
Entity Type | Organization |
Authorized Contact | HEATHER DRIESSEN Podiatrist 912-657-0951 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD001173) |
Enumeration Date | 2013-06-01 |
Last Update Date | 2013-10-03 |