NPI | 1073688123 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JOSEPH GAULAND President 252-830-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: NC 485) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: NC 361) |
213E00000X Podiatrist (Licence: NC 435) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2023-04-06 |