| NPI | 1205036829 |
|---|---|
| Doing Business As | A FAMILY PODIATRY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLEN LAZERSON Owner 770-951-8976 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA 000496) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA POD000496) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2008-08-14 |