| NPI | 1033288790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LYNNE CALLOWAY Office Manager 757-228-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA va0103000437) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-05-12 |