| NPI | 1154500320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE ANDREAN CLEMENTS Owner 404-241-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD000952) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2012-10-03 |