| NPI | 1033376959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH M JUDGE Practice Manager 919-570-9061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 389) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2012-02-23 |