| NPI | 1477363760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BARTON FISER VP Managed Care/Revenue Cycle 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 213ES0131X Podiatrist Foot Surgery | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |