NPI | 1316952849 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY HARRIS LEWIS Owner Solo Practitioner 770-733-7560 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA POD001018) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2016-05-17 |