NPI | 1144593948 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN CCHELTREE Sole Owner 540-886-6424 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: VA 0103000705) |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: VA 0103000705) |
Enumeration Date | 2012-02-10 |
Last Update Date | 2012-04-05 |