| NPI | 1174026454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN C DALSANIA Owner 404-538-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: AL BL001588012018) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |