| NPI | 1144316092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PONTON Owner 601-264-5793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: MS 80087) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |