| NPI | 1205143278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S MILLER Owner 770-386-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000776) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2013-10-04 |