NPI | 1417688730 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID VANDIVER THORPE CEO 205-807-3009 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-06-17 |
Last Update Date | 2023-08-09 |