| NPI | 1487978763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE ANDREAN CLEMENTS Owner 404-455-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: GA Pod000952) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2011-06-07 |