| NPI | 1124408851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA THOMAS Podiatrist 770-905-5393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: GA 15011319) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |