| NPI | 1023267903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L HILLIARD Owner 301-390-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MD 01129) |
| Additional Taxonomies | 213E00000X Podiatrist |
| 261QP1100X Clinic/Center, Podiatric (Licence: VA 103000906) | |
| 261QP1100X Clinic/Center, Podiatric (Licence: DC PO517) | |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2021-11-16 |