| NPI | 1104025600 |
|---|---|
| Doing Business As | FAMILY FOOTCARE OF SELMA |
| Entity Type | Organization |
| Authorized Contact | TOMEKO LYDRITRIUS MCPHILLIPS Co Owner 334-872-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 256) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: AL 248) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2013-01-04 |