| NPI | 1164852018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN LUCAS CEO 901-826-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4965) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2015-01-07 |