| NPI | 1518160936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSTAFA NIKNAFS President 706-548-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 528) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |