| NPI | 1578217493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAMSON Owner/Doctor 856-371-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |