NPI | 1568748978 |
---|---|
Entity Type | Organization |
Authorized Contact | JANAKI NADARAJAH Physician/Owner 706-868-0319 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2011-10-30 |
Last Update Date | 2015-03-20 |