| 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 |