NPI | 1053534446 |
---|---|
Entity Type | Organization |
Authorized Contact | REMBERT ALPHONSO CRAWFORD Physician/Owner 910-582-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 341) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2012-10-01 |