| NPI | 1164443859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WARD RUTLEDGE Owner 772-569-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL P02624) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-07-25 |