| NPI | 1265638381 |
|---|---|
| Doing Business As | FAMILY FOOT & ANKLE CTR |
| Entity Type | Organization |
| Authorized Contact | ROGER PETER THEODORE Podiatrist 404-241-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: GA 000753) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |