NPI | 1508155037 |
---|---|
Entity Type | Organization |
Authorized Contact | AZUKA IFEYINWA NWAEDOZIE Podiatrist/Owner 678-489-6589 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001142) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2012-07-16 |