NPI | 1164433272 |
---|---|
Entity Type | Organization |
Authorized Contact | LISSETTE E TIRADO President 770-935-4443 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: GA 000729) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2013-10-22 |