| NPI | 1578588265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MCDONALD ASHMAN CEO 770-774-2837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: GA POD001045) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-01-09 |