| NPI | 1174727119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R CARTER Owner Physician 770-786-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA POD000952) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA DPM000747) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-05-16 |