NPI | 1437311818 |
---|---|
Doing Business As | INGIE EL-KHASHAB |
Doing Business As | ACTIVE ANKLE & FOOT CARE SPECIALIST |
Entity Type | Organization |
Authorized Contact | INGIE EL- KHASHAB Owner 404-373-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA POD000986) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2024-02-19 |