| NPI | 1295773802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES ANN COMBSBARNES CEO/Podiatrist 770-307-1094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: GA 000730) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |