| NPI | 1194126375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASUDHA RANI SHAH Podiatrist 678-871-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001248) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2016-08-16 |