NPI | 1073713053 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH G. BASS Podiatrist 910-892-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 223) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2008-10-29 |