| NPI | 1396000279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR R BEACH Physician/Owner 770-971-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2024-05-07 |