| NPI | 1356524037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY J NELLAS Owner 704-562-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 413) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2010-01-26 |