| NPI | 1053506162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA IOLA BROWN CEO/Owner 404-759-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: GA POD000681) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-03-26 |