| NPI | 1144352956 |
|---|---|
| Former Legal Business Name | VALDOSTA PODIATRY ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | AVIS GRIFFIN Office Manager 229-242-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-10-22 |