| NPI | 1508384892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEREE SHANTELL ELDRIDGE Owner 404-736-7198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: GA 001267) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |