| NPI | 1386036234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANA RENE TRENT Owner 404-606-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01544) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2019-01-23 |