| NPI | 1538492962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLY BEDNARZ Owner 678-520-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001030) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |