| NPI | 1346190626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J. ROBERTS Physician Owner/CEO 678-910-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2026-01-28 |
| Last Update Date | 2026-01-28 |