| NPI | 1508284175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY DANIELLE FARROW Clinical Coordinator 770-820-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ER0200X Podiatrist, Radiology (Licence: GA 043894) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |