| NPI | 1013354935 |
|---|---|
| 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 |