| NPI | 1265597496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD BARNETTE RICHARDSON Doctor Of Podiatric Medicine 704-733-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-09-09 |