| NPI | 1215370986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN THOMAS Owner 470-749-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005904) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |