| NPI | 1073797908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. RICHARD GROVES President 229-226-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA PO 551) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-01-10 |