| NPI | 1134267636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P MISTRETTA Managing Partner 770-232-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA 00742) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |