| NPI | 1457601312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR NAOULO Podiatrist 770-864-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: GA POD001175) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2013-05-30 |