NPI | 1235458084 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERSON PEARCE FUTCH Owner 229-293-8337 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001085) |
Enumeration Date | 2010-05-19 |
Last Update Date | 2010-05-19 |