NPI | 1366560732 |
---|---|
Doing Business As | SOUTHFULTON FOOTCARE CENTER |
Entity Type | Organization |
Authorized Contact | LARRY R GILGER President 404-768-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: GA 366) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-10-10 |