| NPI | 1043574643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA PATTERSON-FYNE Doctor 706-373-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD000619) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2013-05-28 |