| NPI | 1316303522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S ZALESKI Authorized Official 601-268-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MS 80131) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2017-02-06 |