| NPI | 1023285996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT MCLEISH Owner 478-333-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000722) |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2010-04-14 |