| NPI | 1154600880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A PANTHEL President 334-531-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001049) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-02-25 |