| NPI | 1043361074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRANCIS SMITH Medical Director 706-724-9224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 121184) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-07-21 |