| NPI | 1538225602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON TUCKER BRAWNER President 912-354-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000456) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2008-06-18 |