| NPI | 1205007879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN YELLIN Doctor Of Podiatric Medicine 276-638-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 0103000370) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2008-03-24 |