| NPI | 1316229511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D CUSACK President 704-636-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 309) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 309) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-23 |