| NPI | 1437144896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J CIVATTE Member/Manager 252-321-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 239) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-02-08 |