| NPI | 1225195746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER MOORE Treasury 828-350-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NC 467) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NC 467) |
| 213E00000X Podiatrist (Licence: NC 477) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: NC 477) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-04-03 |